DEPARTMENT OF INSURANCE

Affiliations

Name	Porush, Blake	DOIID	1001221	NAIC NPN	18816299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/16/2018	9/30/2026
Active	Non Resident	Agent	Health	7/16/2018	9/30/2026
* 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	07/15/2024	09/30/2024	10/14/2024	10/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	5/11/2021	7/18/2022
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/19/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/30/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	12/19/2019	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/27/2019	12/21/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2021	6/21/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/2021	6/21/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/2021	6/21/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/19/2019	3/11/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/11/2018	1/7/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/19/2019
Inactive	Federal Insurance Company	301144	Agent - Health	7/27/2022	4/11/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	10/21/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	10/21/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	12/27/2019	1/24/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/25/2019	8/1/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/14/2019	3/11/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/3/2019	3/11/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/30/2019
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	7/28/2022	2/20/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/26/2020	11/13/2023
Active	Unified Life Insurance Company	543169	Agent - Health	8/8/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/15/2018	6/15/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/31/2019	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/16/2021	4/28/2022