Company Profile
Company Information

NATIONWIDE LIFE AND ANNUITY COMPANY OF AMERICA
ONE NATIONWIDE PLAZA, ML 1-13-G2
COLUMBUS,   OH 43215-2220
800-523-4681


Old Company Names                                                             Effective Date

PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA DBA PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY, A STOCK LIFE INSURANCE 2004-09-02
WASHINGTON SQUARE LIFE INSURANCE COMPANY 1991-09-12

Agent For Service

JERE KEPRIOS
C/O CT CORPORATION SYSTEM
818 WEST SEVENTH STREET, 2ND FLOOR
LOS ANGELES     CA   90017


Reference Information

NAIC #: 70750
California Company ID #: 2903-3
Date Authorized in California: 1983-06-06
License Status: MERGED
Company Type: LIFE-DISABILITY
State of Domicile: DELAWARE

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NAIC Group List

NAIC Group #: 0140   NATIONWIDE CORP GRP

Lines Of Business

The company is authorized to transact business within these lines of insurance.
For an explanation of any of these terms, please refer to the glossary.
  DISABILITY
  LIFE
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