DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Osborne, Blake	DOIID	1257873	NAIC NPN	20622728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/23/2023		4/30/2026
Active	Non Resident	Agent	Life	6/27/2024		4/30/2026
Active	Non Resident	Agent	Health	6/27/2024		4/30/2026
Active	Non Resident	Agent	Casualty	2/23/2023		4/30/2026
* 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	American Strategic Insurance Corp	883540	Agent - Casualty	4/10/2023	3/19/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/10/2023	3/19/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/8/2024	3/27/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/8/2024	3/27/2024
Inactive	Direct General Life Insurance Company	301045	Agent - Life	7/1/2024	10/16/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/8/2024	3/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/8/2024	3/27/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/1/2024	3/18/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Insurance Company	300234	Agent - Property	3/1/2024	3/18/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/1/2024	3/18/2024
Inactive	National General Insurance Company	300152	Agent - Casualty	5/31/2024	10/16/2024
Inactive	National General Insurance Company	300152	Agent - Property	5/31/2024	10/16/2024
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/1/2024	3/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	7/19/2024	10/16/2024
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	7/19/2024	10/16/2024
Inactive	Branch Financial Inc	1120010	Agent - Casualty	3/8/2023	6/27/2023
Inactive	Branch Financial Inc	1120010	Agent - Property	3/8/2023	6/27/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	7/19/2024	10/16/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	7/19/2024	10/16/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Life	7/19/2024	10/16/2024
Pending	Direct General Insurance Agency Inc	1018980	Agent - Health
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	7/19/2024	10/16/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Property	7/19/2024	10/16/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Life	7/19/2024	10/16/2024
Pending	National General Ins Marketing Inc	621228	Agent - Health