DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chadwick, Nicholas Tyler	DOIID	989132	NAIC NPN	18375454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/28/2018	7/31/2020
Inactive	Non Resident	Agent	Life	3/28/2018	7/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/8/2019	7/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/8/2019	7/31/2020
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/12/2019	9/9/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/5/2019	3/13/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/5/2019	3/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/7/2019	9/9/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/7/2019	9/9/2020
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/11/2019	3/29/2020
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/11/2019	3/29/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	2/4/2020	7/31/2020
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	2/4/2020	7/31/2020