DEPARTMENT OF INSURANCE

Affiliations

Name	Deloria, Nicole K	DOIID	985891	NAIC NPN	15687135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/27/2018	5/31/2021
Inactive	Non Resident	Agent	Life	2/27/2018	5/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Life
Denied	Designated Agent Company Inc.	681257	Agent - Health