DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Blake Thomas	DOIID	1199634	NAIC NPN	20268403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/18/2022		11/30/2025
Active	Non Resident	Agent	Health	4/18/2022		11/30/2025
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	11/14/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/14/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Health	5/27/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Life	5/27/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	11/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/14/2022
Active	Unum Insurance Company	301499	Agent - Health	11/14/2022
Active	Unum Insurance Company	301499	Agent - Life	11/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Life	9/28/2022
Active	Hodges-Mace LLC	1059189	Agent - Health	9/28/2022