DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Gene Edward	DOIID	368710	NAIC NPN	7199651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	9/30/2004
Inactive	Resident	Agent	Credit Life & Health	1/15/1997	8/7/2000
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	3/6/2002	11/8/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	5/7/2001	11/8/2002
Inactive	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	1/15/1997	4/30/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/17/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	9/30/2004
Denied	North Central Life Insurance Company	301463	Agent - Limited Line Credit

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bruce Walters Ford Sales Inc.	400923	Agent - Credit Life & Health	5/1/1997	2/25/1998