DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Jaylin Shemar	DOIID	1239653	NAIC NPN	20461094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/31/2022		12/31/2026
* 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
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/23/2023	5/27/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/23/2023	5/27/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/23/2023	5/27/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	5/27/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/7/2023	5/27/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2024	5/27/2025
Inactive	Humana Insurance Company	301104	Agent - Health	6/9/2023	5/27/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/4/2023	5/27/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/7/2023	5/27/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Humana MarketPOINT Inc.	398092	Agent - Health	10/11/2023