PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Insurer Details
NAMENationwide Life Insurance Company of America
DOI ID301134
FEIN #230990450
ALIEN #
State of DomicilePA
Domicile Country
Merged IntoNationwide Life Insurance Company
NAIC #68225
NAIC Group #140
Entity TypeInsurer
Admitted5/30/1924
AM Best Rating
PresidentMark Raymond Thresher
Process AgentMichael A. Bazany, Jr.
Date Assigned : 10/15/2002
(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
Agent Licensing AddressField Administration 300 Continental Drive Newark, DE 19713
Business / Home Office1600 Market Street Philadelphia, PA 19103
Business / Home Office1000 Chesterbrook Blvd Berwyn, PA 19312
Continuing Education Provider 1000 Chesterbrook Blvd Berwyn, PA 19312
MailingPO Box 1717 Valley Forge, PA 194821717
Process Agent1000 Chesterbrook Blvd. Berwyn, PA 193121181
Statutory Home Office1000 Chesterbrook Blvd. Berwyn, PA 193121181
TypeNumber
Business / Home Office(610) 407-1717
CE/PL Provider(800) 451-8333
CE/PL Provider(610) 407-1680
Licensing - Agent Licensing Phone(302) 452-4062
TypeInternet Information
Annual Statement - Business Emailrmatarese@nationwide.com
Licensing - Business Emailecameron@nationwideprovident.com
Business Emaildetodd@nationwideprovident.com
Licensing - Business Emailecameron@nationwideprovident.com

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