DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Roy Kenneth	DOIID	306164	NAIC NPN	7158377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/19/2008		7/31/2025
Active	Resident	Agent	Property	8/28/2007		7/31/2025
Active	Resident	Agent	Casualty	8/28/2007		7/31/2025
Inactive	Resident	Agent	Credit Personal Property & Unemployment	1/14/1994	3/23/1998
Inactive	Resident	Agent	Credit Life & Health	6/10/1996	10/19/1998
Inactive	Resident	Agent	General Lines	8/18/1997	8/15/2000
* 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	AMCO Insurance Company	300204	Agent - Casualty	2/3/2022
Active	AMCO Insurance Company	300204	Agent - Property	2/3/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/29/2019	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/29/2019	11/9/2022
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/11/2020
Active	Allied Insurance Company of America	793586	Agent - Property	2/11/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	2/3/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	2/3/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	3/20/2000	8/15/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	6/10/1996	10/19/1998
Active	American Economy Insurance Company	300315	Agent - Casualty	8/26/2022
Active	American Economy Insurance Company	300315	Agent - Property	8/26/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/29/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/29/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/23/2017
Active	Bristol West Insurance Company	301655	Agent - Property	3/23/2017
Active	Depositors Insurance Company	301634	Agent - Casualty	2/3/2022
Active	Depositors Insurance Company	301634	Agent - Property	2/3/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/15/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/15/2010
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	8/17/2015	5/10/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	8/17/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/17/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/17/2015	5/10/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/25/1997	7/1/1998
Inactive	Keyport Life Insurance Company	300319	Agent - Life	6/1/1994	7/1/1998
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/3/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/3/2022
Active	Nationwide Assurance Company	300166	Agent - Casualty	8/31/2007
Active	Nationwide Assurance Company	300166	Agent - Property	2/3/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/31/2007
Active	Nationwide General Insurance Company	300603	Agent - Property	8/31/2007
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/19/2008
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/19/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/31/2007	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/31/2007	1/1/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/31/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/31/2007
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/31/2007
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/31/2007
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/23/2000	12/1/2000
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	8/18/1997	3/31/1998
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/8/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/8/2022
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	1/14/1994	3/23/1998
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	8/31/2007	1/16/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	8/31/2007	1/16/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Blackburn Insurance Group Inc	749040	Agent - Life	3/1/2011
Active	Blackburn Insurance Group Inc	749040	Agent - Casualty	3/1/2011
Active	Blackburn Insurance Group Inc	749040	Agent - Property	3/1/2011