DEPARTMENT OF INSURANCE
Affiliations
NameBlake, William CDOIID310875NAIC NPN788781
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/20/1997 5/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities6/7/2001 5/31/2026
ActiveNon ResidentAgentHealth10/20/1997 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health1/11/200612/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life1/11/200612/23/2019
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health1/11/200612/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life1/11/200612/31/2012
ActiveAmerican Heritage Life Insurance Company300272Agent - Health4/16/1999 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life4/16/1999 
InactiveAmerican National Insurance Company301861Agent - Health5/1/20175/26/2021
ActiveAmerican National Insurance Company301861Agent - Life5/1/2017 
InactiveCincinnati Life Insurance Company (The)300601Agent - Health5/17/20183/11/2024
InactiveCincinnati Life Insurance Company (The)300601Agent - Life5/17/20183/11/2024
InactiveContinental General Insurance Company300691Agent - Health5/8/200011/7/2002
InactiveContinental General Insurance Company300691Agent - Life5/8/200011/7/2002
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life3/8/200210/17/2005
InactiveFirst Colony Life Insurance Company301179Agent - Health9/11/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life9/11/20031/1/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life6/10/200212/8/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities6/10/200212/8/2004
InactiveGenworth Life Insurance Company300623Agent - Health12/30/201012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life12/30/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/30/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/30/201012/7/2012
InactiveGuarantee Life Insurance Company301560Agent - Health1/28/19989/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life1/28/19989/8/2000
InactiveHumana Health Plan, Inc.300142Agent - Health4/6/20067/10/2013
InactiveHumana Insurance Company301104Agent - Health4/6/20067/10/2013
InactiveHumana Insurance Company301104Agent - Life4/6/20067/10/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health4/6/20067/10/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/6/20067/10/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities6/7/20017/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/10/20004/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/10/20004/2/2007
InactiveLife Investors Insurance Company of America301793Agent - Health1/20/200610/2/2008
InactiveLife Investors Insurance Company of America301793Agent - Life1/20/200610/2/2008
InactiveLincoln Benefit Life Company301110Agent - Health8/9/19997/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life8/9/19997/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/30/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/30/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/30/2014 
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life2/25/20009/14/2005
InactiveMidland Life Insurance Company (The)300310Agent - Health1/23/19983/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life1/23/19983/31/2001
InactiveNew York Life Insurance Company300431Agent - Health10/20/19973/13/1998
InactiveNew York Life Insurance Company300431Agent - Life10/20/19973/13/1998
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health10/20/19973/1/2001
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/20/19973/1/2001
InactivePacific Life Insurance Company301848Agent - Life8/6/20018/24/2011
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/6/20018/24/2011
InactivePaul Revere Life Insurance Company300971Agent - Health8/28/200012/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life8/28/200012/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/28/200011/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/28/200011/10/2004
InactiveTransamerica Life Insurance Company300571Agent - Health8/4/200811/13/2018
InactiveTransamerica Life Insurance Company300571Agent - Life12/20/200211/13/2018
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities12/20/20025/28/2021
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life12/20/200210/1/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Variable Life and Variable Annuities12/20/200210/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/20/200212/11/2007
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities12/20/200212/11/2007
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/29/20113/6/2014
InactiveTransamerica Premier Life Insurance Company300558Agent - Life8/29/20113/6/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health8/28/200011/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life8/28/200011/10/2004
InactiveWest Coast Life Insurance Company301607Agent - Life11/14/200011/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveConcourse Financial Group Securities, Inc.554596Agent - Life8/30/2017 
ActiveConcourse Financial Group Securities, Inc.554596Agent - Variable Life and Variable Annuities8/30/2017 

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