DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackham, Spencer	DOIID	1046105	NAIC NPN	19211272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/1/2019	10/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/30/2019	10/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/8/2019	10/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/30/2019	10/31/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/8/2019	10/31/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	7/8/2019	10/31/2020