DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaasch, Annmarie	DOIID	1022344	NAIC NPN	3031961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/13/2018	12/6/2019
Inactive	Non Resident	Agent	Property	12/13/2018	12/6/2019
Inactive	Non Resident	Agent	Personal Lines	12/13/2018	12/6/2019
Inactive	Non Resident	Agent	Life	12/13/2018	12/6/2019
Inactive	Non Resident	Agent	Health	12/13/2018	12/6/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Club Alliance Inc	1026383	Agent - Casualty	1/28/2019	12/6/2019
Inactive	AAA Club Alliance Inc	1026383	Agent - Life	1/28/2019	12/6/2019
Inactive	AAA Club Alliance Inc	1026383	Agent - Health	1/28/2019	12/6/2019
Inactive	AAA Club Alliance Inc	1026383	Agent - Property	1/28/2019	12/6/2019
Inactive	AAA Club Alliance Inc	1026383	Agent - Personal Lines	1/28/2019	12/6/2019
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	3/21/2019	12/6/2019
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	3/21/2019	12/6/2019
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Health	3/21/2019	12/6/2019
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	3/21/2019	12/6/2019
Inactive	Energy Insurance Brokerage, Inc.	1022233	Agent - Casualty	12/13/2018	12/6/2019
Inactive	Energy Insurance Brokerage, Inc.	1022233	Agent - Life	12/13/2018	12/6/2019
Inactive	Energy Insurance Brokerage, Inc.	1022233	Agent - Health	12/13/2018	12/6/2019
Inactive	Energy Insurance Brokerage, Inc.	1022233	Agent - Property	12/13/2018	12/6/2019