DEPARTMENT OF INSURANCE

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	Health	3/10/2022		3/31/2025
Active	Non Resident	Agent	Life	3/10/2022		3/31/2025
* 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	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