Individual Information

NICOLE LYNN BAILEY

PALM HARBOR, FL 34683-0002

Active

nbailey@conveyhs.com

09/09/2005

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	208463	09/09/2005	Active	09/09/2005	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/09/2005	Active	09/09/2005
Life	05/04/2009	Active	05/04/2009

Company Name	Appointment Type	Status	Active Date
505
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	05/07/2014

row(s) 1 - 1 of 1

Organization	Association Type	Type	Beg dte	End dte
CONVEY HEALTH SOLUTIONS	Designated Resp Lic Prdcr	Agency	05/24/2022	-
UNITED STATES PHARMACEUTICAL GROUP LLC	Designated Resp Lic Prdcr	Agency	12/02/2020	-

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