DEPARTMENT OF INSURANCE

Affiliations

Name	Wildman, Nicolas	DOIID	924447	NAIC NPN	17944692

License - Line of Authority Information

Status	Residency	Class	Line of Authority
Pending	Non Resident	Agent	Health
Pending	Non Resident	Agent	Variable Life and Variable Annuities
Pending	Non Resident	Agent	Life
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/9/2018	6/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/9/2018	6/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/9/2018	6/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/30/2016	12/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/30/2016	12/30/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/9/2018	6/30/2020
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	8/30/2017	1/1/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2016	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/15/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/15/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/15/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/20/2019	6/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/12/2016	6/30/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/28/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	6/30/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/30/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/12/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/12/2016	6/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	6/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/30/2016	6/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/30/2016	6/30/2020