DEPARTMENT OF INSURANCE
Insurer Details
NAMENationwide Life and Annuity Company of America
DOI ID300172
FEIN #231619082
ALIEN #
State of DomicileDE
Domicile Country
Merged IntoNationwide Life and Annuity Insurance Company
NAIC #70750
NAIC Group #140
Entity TypeInsurer
Admitted5/19/1983
AM Best Rating
PresidentMark Allen Berven
Process AgentMichael A. Bazany, Jr.
Date Assigned : 10/14/2002
(See address table below for process agent address)

Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.
TypeAddress
MailingP.O. Box 15750 Wilmington, DE 198505750
Process Agent1000 Chesterbrook Blvd. Berwyn, PA 193121181
Statutory Home Office300 Continental Drive Newark, DE 197134399
TypeNumber
Business / Home Office(610) 407-1717
Licensing - Agent Licensing Phone(302) 452-4062
TypeInternet Information
Licensing - Business Emailecameron@nationwideprovident.com

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