DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Nicholas A	DOIID	1226515	NAIC NPN	11199752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2022		12/31/2025
Active	Non Resident	Agent	Life	8/30/2022		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/12/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Baldwin Group Southeast, LLC	638213	Agent - Life	9/12/2022	9/13/2023
Inactive	The Baldwin Group Southeast, LLC	638213	Agent - Health	9/12/2022	9/13/2023