DEPARTMENT OF INSURANCE
Affiliations
NameBlake, Debra CarolDOIID366067NAIC NPN548196
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/26/200811/30/2009 
InactiveNon ResidentAgentHealth11/13/199611/30/2007 
InactiveNon ResidentAgentVariable Life and Variable Annuities9/26/200811/30/2009 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/25/19973/16/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities5/31/20013/16/2006
InactiveEverlake Life Insurance Company300873Agent - Life1/29/20012/12/2004
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities3/19/20012/12/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life5/24/19977/19/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/10/199711/30/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/10/199711/30/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/15/19971/7/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/15/19971/7/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Health9/28/20041/4/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/28/20021/4/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities1/28/20021/4/2008
InactiveMetropolitan Life Insurance Company301948Agent - Health9/28/20041/4/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life9/28/20041/4/2008
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities9/28/20041/4/2008
InactivePHL Variable Insurance Company300525Agent - Health5/29/20012/1/2006
InactivePHL Variable Insurance Company300525Agent - Life5/29/20012/13/2004
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities5/29/20012/13/2004
InactivePacific Life Insurance Company301848Agent - Life12/4/200611/30/2007
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/4/200611/30/2007
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life5/8/200011/30/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/30/199710/24/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/30/199710/24/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/17/200110/24/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/30/199710/24/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/30/199710/24/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/17/200110/24/2005
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health11/13/19967/18/2003
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life11/13/19967/18/2003
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities2/23/20017/18/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life7/5/20018/8/2003
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health7/5/20018/8/2003
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities7/5/20018/8/2003
DeniedSBS Insurance Brokers of Kentucky Inc.398096Agent - Life  
DeniedSBS Insurance Brokers of Kentucky Inc.398096Agent - Health  
DeniedSBS Insurance Brokers of Kentucky Inc.398096Agent - Variable Life and Variable Annuities  

© Commonwealth of Kentucky. All rights reserved.