DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Blaise Andrew	DOIID	340648	NAIC NPN	7187363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/19/2007		1/31/2026
Active	Non Resident	Agent	Casualty	11/19/2007		1/31/2026
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/22/1999	2/22/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/18/2007		1/31/2026
* 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	Affiliated FM Insurance Company	300108	Agent - Casualty	7/2/2008
Active	Affiliated FM Insurance Company	300108	Agent - Property	7/2/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Casualty	4/5/2012
Active	Alliant Insurance Services, Inc.	551378	Agent - Property	4/5/2012
Active	Alliant Insurance Services, Inc.	551378	Surplus Lines Broker - Not Applicable	4/5/2012
Active	Alliant Specialty Ins Services Inc	401142	Agent - Casualty	8/10/2011
Active	Alliant Specialty Ins Services Inc	401142	Agent - Property	8/10/2011
Active	Alliant Specialty Ins Services Inc	401142	Surplus Lines Broker - Not Applicable	8/10/2011

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Miller, Arthur S	391501	Apprentice Adjuster - Not Applicable	2/22/1999	2/22/2000