DEPARTMENT OF INSURANCE

Affiliations

Name	Blaha, Debra Jean	DOIID	1317260	NAIC NPN	5699684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/3/2024	7/31/2025
Active	Non Resident	Agent	Property	1/3/2024	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Property