DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kragh, Sam James	DOIID	1053090	NAIC NPN	18950301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2019	12/8/2022
Inactive	Non Resident	Agent	Life	8/23/2019	12/8/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/22/2020	8/19/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/22/2020	8/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Stride Health Inc	843316	Agent - Life
Denied	Stride Health Inc	843316	Agent - Health