DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fenton, Nicholos	DOIID	1058130	NAIC NPN	19300941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/27/2019	8/31/2022
Inactive	Non Resident	Agent	Health	9/27/2019	8/31/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	5/19/2022		8/31/2026
* 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
Staff Adjuster	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/2/2019	3/10/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/2/2019	3/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	10/10/2019	3/10/2022
Inactive	Sutherland Global Services Inc	601788	Agent - Health	10/10/2019	3/10/2022