DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cruth, Nadia A	DOIID	870460	NAIC NPN	15919122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/10/2022		3/31/2027
Active	Non Resident	Agent	Health	3/10/2022		3/31/2027
* 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	01/15/2025	03/31/2025	01/29/2025	01/29/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/29/2015	3/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/29/2015	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/29/2015	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/29/2015	3/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Life	10/17/2016	12/21/2018
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Health	10/17/2016	12/21/2018
Inactive	Mylo LLC	973654	Agent - Life	4/6/2018	12/21/2018
Inactive	Mylo LLC	973654	Agent - Health	4/6/2018	12/21/2018