DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blais, Jeffrey M	DOIID	1078263	NAIC NPN	7515816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/16/2020	6/30/2022
Inactive	Non Resident	Agent	Property	3/16/2020	6/30/2022
Inactive	Non Resident	Agent	Life	2/4/2021	6/30/2022
Inactive	Non Resident	Agent	Health	2/4/2021	6/30/2022
* 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	2/9/2021	6/30/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/9/2021	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/9/2021	6/30/2022
Inactive	Homesite Insurance Company	301139	Agent - Casualty	6/29/2020	6/30/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	6/29/2020	6/30/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/29/2020	6/30/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/29/2020	6/30/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/19/2020	9/14/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/19/2020	9/14/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/6/2020	1/8/2021
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/6/2020	1/8/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/9/2021	6/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/17/2021	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/17/2021	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/17/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/17/2021	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/14/2020	6/30/2022
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/14/2020	6/30/2022