DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaise, Brandon	DOIID	1169603	NAIC NPN	19325684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/29/2021		3/31/2026
Active	Non Resident	Agent	Casualty	10/29/2021		3/31/2026
* 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
Active	TDC National Assurance Company	534982	Agent - Casualty	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tdc Specialty Underwriters, Inc.	1001053	Agent - Casualty	1/9/2025
Denied	Tdc Specialty Underwriters, Inc.	1001053	Agent - Property