DEPARTMENT OF INSURANCE
Affiliations
NameBlair, Proctor WoodDOIID370432NAIC NPN7200380
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife7/17/2023 4/30/2025
ActiveResidentAgentVariable Life and Variable Annuities7/19/2023 4/30/2025
ActiveResidentAgentHealth7/26/2023 4/30/2025
* 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
ActiveAugustar Life Assurance Corporation301113Agent - Life11/10/2023 
InactiveBanner Life Insurance Company301696Agent - Life1/9/20149/5/2017
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200112/10/2007
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200112/10/2007
InactiveBrighthouse Life Insurance Company301829Agent - Health1/7/20165/16/2022
InactiveBrighthouse Life Insurance Company301829Agent - Life1/7/20161/26/2018
InactiveC.M. Life Insurance Company301335Agent - Health3/24/19975/1/2009
InactiveC.M. Life Insurance Company301335Agent - Life3/24/19975/1/2009
InactiveCombined Insurance Company of America301472Agent - Health11/15/199512/31/1998
InactiveCombined Insurance Company of America301472Agent - Life11/15/199512/31/1998
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/20/20003/24/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life10/9/19967/19/2004
InactiveGeneral American Life Insurance Company300280Agent - Health11/5/19933/22/1999
InactiveGeneral American Life Insurance Company300280Agent - Life11/5/19933/22/1999
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/13/20095/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/30/20075/1/2009
InactiveGolden Rule Insurance Company301943Agent - Health1/25/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life1/25/19953/31/1997
InactiveGuardian Life Insurance Company of America301316Agent - Health11/13/200012/10/2007
InactiveGuardian Life Insurance Company of America301316Agent - Life11/13/200012/10/2007
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/25/20035/1/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/25/20035/1/2009
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health11/17/19984/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life11/17/19984/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/27/201612/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/27/201612/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/21/20065/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/23/20225/1/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/23/20225/1/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/30/20205/16/2022
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health10/4/19945/1/2009
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life8/9/20138/23/2018
InactiveMetropolitan Life Insurance Company301948Agent - Health12/5/20125/16/2022
InactiveMetropolitan Life Insurance Company301948Agent - Life12/5/20125/16/2022
InactiveMidland Life Insurance Company (The)300310Agent - Health2/27/19973/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life2/27/19973/31/2001
InactiveMutual of Omaha Insurance Company301012Agent - Health6/24/20205/24/2021
InactiveNassau Life Insurance Company301406Agent - Health10/4/20012/13/2004
InactiveNassau Life Insurance Company301406Agent - Life10/4/20012/13/2004
InactiveNassau Life and Annuity Company513671Agent - Health10/4/20014/16/2003
InactiveNassau Life and Annuity Company513671Agent - Life10/4/20014/16/2003
InactiveNorth American Company for Life and Health Insurance300291Agent - Life8/3/20185/16/2022
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health7/14/20119/15/2021
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health7/26/2023 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life7/22/2023 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities7/22/2023 
InactivePHL Variable Insurance Company300525Agent - Health10/4/20012/13/2004
InactivePHL Variable Insurance Company300525Agent - Life10/4/20012/13/2004
InactivePaul Revere Life Insurance Company300971Agent - Health3/2/19948/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life3/2/19948/24/2000
InactivePrincipal Life Insurance Company300129Agent - Health7/27/20225/1/2023
ActivePrincipal Life Insurance Company300129Agent - Life10/17/2023 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities10/17/2023 
InactiveProtective Life Insurance Company300638Agent - Health11/12/20195/16/2022
InactiveProtective Life Insurance Company300638Agent - Life11/12/20195/16/2022
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities11/12/20195/16/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/13/20075/1/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/13/20075/1/2009
InactivePruco Life Insurance Company300954Agent - Health8/4/201112/22/2016
InactivePruco Life Insurance Company300954Agent - Life7/28/20205/16/2022
InactiveReassure America Life Insurance Company301902Agent - Health2/21/19971/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life2/21/19971/2/2003
InactiveReliaStar Life Insurance Company301712Agent - Health12/9/20112/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Life12/9/20112/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/9/20112/27/2016
InactiveSecurity Life of Denver Insurance Company300648Agent - Health8/25/20085/1/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life8/25/20085/1/2009
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life6/18/200110/1/2003
InactiveSun Life Assurance Company of Canada301811Agent - Life12/12/200212/13/2006
InactiveTransamerica Life Insurance Company300571Agent - Health3/29/20235/1/2023
InactiveTransamerica Life Insurance Company300571Agent - Life3/29/20235/1/2023
InactiveU.S. Financial Life Insurance Company301812Agent - Health11/20/20003/24/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life11/20/200011/13/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health8/13/20075/1/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life8/13/20075/1/2009
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health8/6/199712/28/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life8/6/199712/28/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/5/19945/1/2009
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/5/199410/28/2005
Inactive300277Agent - Life5/23/200312/15/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life6/25/19966/19/2000
InactiveArison Insurance Services, Inc.401001Agent - Health6/25/19966/19/2000
InactiveAssociated Benefits Ltd.398481Agent - Life3/11/19863/31/2006
InactiveAssociated Benefits Ltd.398481Agent - Health3/11/19863/31/2006

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