DEPARTMENT OF INSURANCE

Affiliations

Name	Lebourveau, Nickolas A	DOIID	1005663	NAIC NPN	18776351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2018	1/31/2026
Active	Non Resident	Agent	Life	8/17/2018	1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/4/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/28/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/13/2019	12/22/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	12/9/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/28/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/24/2018	9/22/2020
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	8/24/2018	8/8/2019
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	12/27/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2018	12/10/2018
Active	Loyal American Life Insurance Company	301172	Agent - Health	8/29/2024
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/22/2019	12/22/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/11/2019	12/23/2022
Active	National Health Insurance Company	300554	Agent - Health	10/25/2022
Active	National Health Insurance Company	300554	Agent - Life	10/25/2022
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/25/2018	8/8/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/9/2018	10/26/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	11/24/2018	9/22/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/2/2019	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019