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DEPARTMENT OF INSURANCE
Affiliations
Name
Ballard, Timothy
DOIID
768683
NAIC NPN
16374856
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
7/9/2013
8/31/2019
Inactive
Non Resident
Agent
Personal Lines
11/11/2011
8/31/2019
Inactive
Non Resident
Agent
Property
6/27/2017
8/31/2019
Inactive
Non Resident
Agent
Casualty
6/27/2017
8/31/2019
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
9/24/2013
5/16/2019
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
9/24/2013
5/16/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
6/28/2017
5/16/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Personal Lines
12/3/2011
5/16/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
6/28/2017
5/16/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Personal Lines
12/14/2011
5/16/2019
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Life
9/24/2013
5/16/2019
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Property
7/18/2017
5/16/2019
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Casualty
7/18/2017
5/16/2019
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