DEPARTMENT OF INSURANCE

Affiliations

Name	Fortuna, Nicole Katherine	DOIID	1150523	NAIC NPN	18842809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	8/10/2021	7/31/2027
Pending Replacement	Non Resident	Agent	Health	8/10/2021	7/31/2027
* 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	Rippling Insurance Services, Inc.	1016257	Agent - Life
Denied	Rippling Insurance Services, Inc.	1016257	Agent - Health