DEPARTMENT OF INSURANCE

Affiliations

Name	Baxley, Nicholas Charles	DOIID	726383	NAIC NPN	12721673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/4/2010	12/31/2024
Active	Non Resident	Agent	Life	4/13/2010	12/31/2024
Active	Non Resident	Agent	Variable Life and Variable Annuities	8/8/2011	12/31/2024
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Life	5/2/2023
Active	New York Life Insurance Company	300431	Agent - Health	8/10/2010
Active	New York Life Insurance Company	300431	Agent - Life	4/15/2010
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	8/19/2010
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/19/2010
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	8/18/2011
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	10/11/2022	12/26/2023
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	7/19/2021	5/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	NYLIFE Securities, LLC	645470	Agent - Life	8/31/2011
Active	NYLIFE Securities, LLC	645470	Agent - Health	8/31/2011
Active	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	8/18/2011