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DEPARTMENT OF INSURANCE
Affiliations
Name
Blackston, David Southwick
DOIID
342759
NAIC NPN
7188272
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
1/12/2000
8/31/2027
Active
Non Resident
Agent
Life
1/12/2000
8/31/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
06/15/2025
08/31/2025
06/27/2025
06/27/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
12/27/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
1/10/2007
1/5/2016
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
8/5/2020
Inactive
American Continental Insurance Company
643130
Agent - Life
12/27/2018
8/11/2021
Active
American Equity Investment Life Insurance Company
300389
Agent - Life
5/12/2023
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
2/15/2007
4/17/2009
Active
Aspida Life Insurance Company
301934
Agent - Life
7/12/2024
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
4/7/2009
8/10/2015
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
9/19/2005
8/31/2012
Active
Athene Annuity and Life Company
301893
Agent - Life
1/22/2018
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
1/12/2000
11/15/2004
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
1/12/2000
11/15/2004
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/15/2010
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
9/14/2004
4/14/2009
Active
Clear Spring Life and Annuity Company
300919
Agent - Life
9/27/2021
Inactive
Colonial Penn Life Insurance Company
300491
Agent - Health
5/29/2003
11/15/2004
Inactive
Colonial Penn Life Insurance Company
300491
Agent - Life
5/29/2003
11/15/2004
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
12/27/2018
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
1/18/2005
5/28/2007
Active
Delaware Life Insurance Company
301256
Agent - Health
11/21/2018
Active
Delaware Life Insurance Company
301256
Agent - Life
11/22/2018
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
9/17/2015
1/2/2020
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
8/18/2005
8/6/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Life
9/7/2005
1/1/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/12/2005
12/4/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/12/2005
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
5/14/2009
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/7/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Health
4/14/2010
12/17/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Life
4/14/2010
12/17/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/31/2006
12/13/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/31/2006
12/13/2012
Active
Guaranty Income Life Insurance Company
552451
Agent - Health
9/16/2021
Active
Guaranty Income Life Insurance Company
552451
Agent - Life
9/16/2021
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/4/2006
11/27/2010
Inactive
Humana Insurance Company
301104
Agent - Health
3/4/2006
11/27/2010
Inactive
Humana Insurance Company
301104
Agent - Life
3/4/2006
11/27/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/4/2006
11/27/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/4/2006
11/27/2010
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
2/26/2008
5/22/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
2/26/2008
5/22/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
2/26/2008
6/8/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/26/2008
6/8/2011
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/21/2005
3/10/2006
Inactive
Liberty Life Insurance Company
301542
Agent - Health
4/1/1997
2/8/2001
Inactive
Liberty Life Insurance Company
301542
Agent - Life
4/1/1997
2/8/2001
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
9/3/2004
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
9/3/2004
7/14/2014
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
8/25/2004
1/18/2007
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
8/25/2004
1/18/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/12/2009
5/18/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/12/2009
5/18/2012
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
8/12/2008
12/6/2010
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
8/12/2008
12/6/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
2/17/2006
3/1/2016
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/17/2006
11/21/2020
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
11/8/2005
11/20/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/8/2005
11/20/2009
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
9/30/2004
12/7/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
9/2/2004
11/26/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
9/2/2004
11/26/2009
Inactive
Midland National Life Insurance Company
300923
Agent - Health
2/13/2008
11/2/2010
Inactive
Midland National Life Insurance Company
300923
Agent - Life
2/13/2008
11/2/2010
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/16/2006
12/26/2012
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
3/5/2008
4/12/2021
Active
North American Company for Life and Health Insurance
300291
Agent - Life
3/5/2008
Active
Oceanview Life and Annuity Company
301868
Agent - Life
8/29/2023
Inactive
Omaha Insurance Company
751908
Agent - Health
12/5/2012
10/22/2013
Inactive
Oxford Life Insurance Company
301079
Agent - Health
3/28/2006
6/5/2009
Inactive
Oxford Life Insurance Company
301079
Agent - Life
6/5/2009
4/12/2013
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
11/22/2005
11/5/2011
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Life
11/22/2005
7/17/2012
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
2/11/2005
11/27/2008
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
2/11/2005
11/27/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/4/2008
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/4/2008
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Health
11/6/2008
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
11/6/2008
12/23/2014
Inactive
Puritan Life Insurance Company of America
301892
Agent - Health
5/6/2008
10/21/2010
Inactive
Puritan Life Insurance Company of America
301892
Agent - Life
5/6/2008
10/21/2010
Inactive
Royal Neighbors of America
301646
Agent - Life
2/19/2010
10/29/2015
Inactive
SILAC Insurance Company
300535
Agent - Life
1/20/2022
12/21/2022
Active
Security Benefit Life Insurance Company
300583
Agent - Life
8/26/2017
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
5/31/2007
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
5/31/2007
3/31/2009
Inactive
Southern Financial Life Insurance Company
300664
Agent - Health
12/30/1998
2/10/1999
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
12/30/1998
2/10/1999
Active
Symetra Life Insurance Company
301691
Agent - Health
6/5/2017
Active
Symetra Life Insurance Company
301691
Agent - Life
6/5/2017
Inactive
Time Insurance Company
300683
Agent - Health
9/28/2004
10/7/2010
Inactive
Time Insurance Company
300683
Agent - Life
9/28/2004
10/7/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
2/10/2010
9/27/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
2/10/2010
9/27/2015
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
2/27/1995
12/30/1998
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
2/27/1995
12/30/1998
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
9/1/2004
11/28/2007
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
9/1/2004
11/28/2007
Inactive
United World Life Insurance Company
300532
Agent - Health
3/16/2006
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
3/16/2006
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
3/16/2006
12/26/2012
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
11/2/2005
6/8/2007
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
11/2/2005
6/8/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
9/2/2004
10/20/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/2/2004
10/20/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Life
9/23/2004
11/16/2011
Inactive
300277
Agent - Life
9/7/2004
12/15/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Medlink Inc
400721
Agent - Life
12/20/2005
3/31/2024
Inactive
Medlink Inc
400721
Agent - Health
12/20/2005
3/31/2024
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