DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bloess, Thomas Paul	DOIID	1150900	NAIC NPN	8317120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/4/2023		12/31/2025
Active	Non Resident	Agent	Casualty	10/4/2023		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/2/2021	10/13/2022
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/2/2021	10/13/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/1/2021	10/13/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/1/2021	10/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	American Collectors Insurance LLC	835172	Agent - Casualty
Denied	American Collectors Insurance LLC	835172	Agent - Property