DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Nicholas Wells	DOIID	894104	NAIC NPN	17290745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/5/2015	12/31/2017
Inactive	Non Resident	Agent	Property	10/5/2015	12/31/2017
* 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	Government Employees Insurance Company	300376	Agent - Casualty	10/5/2015	8/29/2017
Inactive	Government Employees Insurance Company	300376	Agent - Property	10/5/2015	8/29/2017
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	6/5/2016	12/31/2017
Inactive	Midvale Indemnity Company	300292	Agent - Property	6/5/2016	12/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	10/5/2015	8/29/2017
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	10/5/2015	12/31/2017