black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NICOLE M. CHAMBERLAIN

PRODUCER NON-RESIDENT

License Number:
PRN135914
Status:
First Licensure:
01/20/2007
Cancel Date:
None

Mailing:
OMAHA, NE 68114
Phone:
+1 (402) 397-3311
Fax:
+1 (402) 343-9940
Email:
contracting@insuractive.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/20/2007

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
09/30/2025 AGN91433
INSURACTIVE LLC
02/16/2016 AGN219779
QBE FIRST ENTERPRISES LLC
01/20/2007 AGN71945 08/05/2013

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
11/11/2009 HMD45749 06/07/2012
AETNA HEALTH INC
11/08/2012 HMD45749 05/12/2021
AETNA LIFE INSURANCE COMPANY
11/11/2009 LHF621 06/07/2012
AETNA LIFE INSURANCE COMPANY
11/08/2012 LHF621 05/12/2021
AMERITAS LIFE INSURANCE CORP
04/28/2021 LHF944
ARCADIAN HEALTH PLAN INC
10/11/2012 HMF112421 02/12/2018
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/23/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/25/2024
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
03/17/2009 LHF149 05/16/2014
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
02/27/2012 LHF842 05/12/2021
HUMANA BENEFIT PLAN OF ILLINOIS INC
10/13/2014 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
02/05/2010 LHF980 02/12/2018
LOYAL AMERICAN LIFE INSURANCE COMPANY
06/08/2017 LHF207 10/29/2019
LOYAL AMERICAN LIFE INSURANCE COMPANY
05/13/2021 LHF207 10/30/2023
MUTUAL OF OMAHA INSURANCE COMPANY
11/06/2007 LHF84 11/29/2010
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
10/06/2009 LHF84860 10/14/2011
REVOL ONE INSURANCE COMPANY
02/06/2007 LHF63184 10/05/2007
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195 07/24/2025
SILVERSCRIPT INSURANCE COMPANY
02/23/2014 LHF132429
UNITED OF OMAHA LIFE INSURANCE COMPANY
10/08/2008 LHF28 11/29/2010
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/21/2011 LHF28 12/26/2012
UNITED OF OMAHA LIFE INSURANCE COMPANY
11/27/2014 LHF28 11/23/2015
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/03/2021 LHF28 10/24/2022
UNITED OF OMAHA LIFE INSURANCE COMPANY
11/27/2023 LHF28 01/22/2025
UNITEDHEALTHCARE INSURANCE COMPANY
10/20/2008 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/15/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 01/25/2024
WELLCARE PRESCRIPTION INSURANCE INC
12/13/2018 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 01/20/2007 Active
LIFE 01/20/2007 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9018730

Other Addresses

Address Type
OMAHA, NE 68114
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/08/2025 08:35:37 PM