DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brockington, Blaze Avonte	DOIID	1240755	NAIC NPN	17263802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	2/24/2023		1/31/2026
Active	Non Resident	Agent	Health	11/4/2022		1/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/7/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/7/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	12/7/2024
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	5/14/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/7/2022	12/29/2022
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	6/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	5/15/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	4/2/2024	5/2/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	5/9/2023	5/2/2024
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	3/24/2023	5/2/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Personal Lines	4/4/2023	5/2/2024
Active	SilverScript Insurance Company	663526	Agent - Health	12/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Qw Insurance Solutions, LLC	1047634	Agent - Health	9/25/2024	11/21/2024