DEPARTMENT OF INSURANCE

Affiliations

Name	Bailey, Kurt	DOIID	921352	NAIC NPN	3340386

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/14/2018		1/31/2026
Active	Non Resident	Agent	Life	6/14/2018		1/31/2026
Active	Non Resident	Agent	Variable Life and Variable Annuities	6/14/2018		1/31/2026
Inactive	Non Resident	Agent	Property	7/15/2016	1/31/2018
Inactive	Non Resident	Agent	Casualty	7/15/2016	1/31/2018
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assurity Life Insurance Company	301099	Agent - Health	4/25/2024
Active	Assurity Life Insurance Company	301099	Agent - Life	4/25/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/27/2019
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/27/2019
Active	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	9/27/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	9/27/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/27/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	9/27/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/20/2016	10/7/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/20/2016	10/7/2017

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 - Property	7/27/2016	10/7/2017
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	7/27/2016	10/7/2017