DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schraft, Blake	DOIID	669170	NAIC NPN	9564105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/13/2018		8/31/2024
Active	Non Resident	Agent	Health	6/13/2018		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BCS Insurance Company	300294	Agent - Health	9/16/2022	6/24/2024
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	3/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/2/2008	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/2/2008	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/2/2008	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/2/2008	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	10/14/2008	12/30/2009
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	10/14/2008	12/30/2009