DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Triple Crown Industries DBA : Triple Crown Management	DOIID	1283362	NAIC NPN	20770083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	8/20/2025		3/31/2027
Active	Resident	Agent	Health	8/20/2025		3/31/2027
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/16/2025
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/16/2025
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	2/10/2026
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	2/10/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Anderson, Blake	1277046	Agent - Casualty
Active	Anderson, Blake	1277046	Agent - Health	8/20/2025
Active	Anderson, Blake	1277046	Agent - Life	8/20/2025
Denied	Anderson, Blake	1277046	Agent - Property