DEPARTMENT OF INSURANCE
Affiliations
NameTriple Crown Industries
DBA : Triple Crown Management
DOIID1283362NAIC NPN20770083
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/20/20233/31/2025 
InactiveResidentAgentLife6/20/20233/31/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnderson, Blake 1277046Agent - Health6/20/20233/31/2025
InactiveAnderson, Blake 1277046Agent - Life6/20/20233/31/2025

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