DEPARTMENT OF INSURANCE
Affiliations
NameBlackburn, Mark DOIID376117NAIC NPN7202890
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty5/29/2007 3/31/2026
ActiveResidentAgentLife8/17/2010 3/31/2026
ActiveResidentAgentHealth8/17/2010 3/31/2026
ActiveResidentAgentProperty5/29/2007 3/31/2026
InactiveResidentAgentLimited Line Credit8/19/20035/31/2004 
InactiveResidentAgentCredit Life & Health12/7/19921/23/1997 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty7/2/20078/3/2010
InactiveAIG Assurance Company300897Agent - Property7/2/20078/3/2010
InactiveAegis Security Insurance Company300492Agent - Casualty4/9/200911/9/2022
InactiveAegis Security Insurance Company300492Agent - Property4/9/200911/9/2022
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/8/2019 
ActiveAmerican Economy Insurance Company300315Agent - Property11/8/2019 
ActiveAmerican Fire and Casualty Company300567Agent - Casualty7/30/2007 
ActiveAmerican Fire and Casualty Company300567Agent - Property7/30/2007 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty2/17/201611/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property2/17/201611/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty4/22/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property4/22/2019 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/20/201511/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/20/201511/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty2/17/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property2/17/201611/14/2021
InactiveAnthem Life Insurance Company301209Agent - Health2/3/201112/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life2/3/201112/16/2024
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Casualty12/28/20094/9/2021
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Property12/28/20094/9/2021
ActiveBristol West Insurance Company301655Agent - Casualty8/8/2012 
ActiveBristol West Insurance Company301655Agent - Property8/8/2012 
ActiveCelina Mutual Insurance Company (The)301908Agent - Casualty10/2/2024 
ActiveCelina Mutual Insurance Company (The)301908Agent - Property10/2/2024 
InactiveConsolidated Insurance Company300943Agent - Casualty9/8/20074/26/2024
InactiveConsolidated Insurance Company300943Agent - Property9/8/20074/26/2024
ActiveDairyland Insurance Company301370Agent - Casualty3/22/2010 
ActiveDairyland Insurance Company301370Agent - Property3/22/2010 
ActiveErie Family Life Insurance Company301400Agent - Health6/4/2019 
ActiveErie Family Life Insurance Company301400Agent - Life6/1/2017 
ActiveErie Insurance Company300230Agent - Casualty6/1/2017 
ActiveErie Insurance Company300230Agent - Property6/1/2017 
ActiveErie Insurance Company of New York789916Agent - Casualty6/1/2017 
ActiveErie Insurance Company of New York789916Agent - Property6/1/2017 
ActiveErie Insurance Exchange300789Agent - Casualty6/1/2017 
ActiveErie Insurance Exchange300789Agent - Property6/1/2017 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty6/1/2017 
ActiveErie Insurance Property & Casualty Company789942Agent - Property6/1/2017 
InactiveFarmers Insurance Exchange300336Agent - Casualty2/16/20098/29/2012
InactiveFarmers Insurance Exchange300336Agent - Property2/16/20098/29/2012
InactiveFederal Home Life Insurance Company301302Agent - Credit Life & Health12/7/199212/21/1996
ActiveFlagship City Insurance Company789965Agent - Casualty6/1/2017 
ActiveFlagship City Insurance Company789965Agent - Property6/1/2017 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/8/2012 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/8/2012 
InactiveGranite State Insurance Company300818Agent - Casualty7/2/20078/3/2010
InactiveGranite State Insurance Company300818Agent - Property7/2/20078/3/2010
InactiveGuideOne Elite Insurance Company300490Agent - Casualty6/13/201111/3/2021
InactiveGuideOne Elite Insurance Company300490Agent - Property6/13/201111/3/2021
InactiveGuideOne Insurance Company301794Agent - Casualty6/13/201111/3/2021
InactiveGuideOne Insurance Company301794Agent - Property6/13/201111/3/2021
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty6/13/201111/3/2021
InactiveGuideOne Specialty Insurance Company300278Agent - Property6/13/201111/3/2021
InactiveIllinois National Insurance Company301367Agent - Casualty7/2/20078/3/2010
InactiveIllinois National Insurance Company301367Agent - Property7/2/20078/3/2010
InactiveIndiana Insurance Company301909Agent - Casualty9/8/20072/3/2023
InactiveIndiana Insurance Company301909Agent - Property9/8/20072/3/2023
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit8/19/20035/31/2004
ActiveKentucky National Insurance Company301625Agent - Casualty9/6/2007 
ActiveKentucky National Insurance Company301625Agent - Property9/6/2007 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty9/8/20074/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property9/8/20074/26/2024
ActiveOhio Casualty Insurance Company301492Agent - Casualty7/30/2007 
ActiveOhio Casualty Insurance Company301492Agent - Property7/30/2007 
ActiveOhio Security Insurance Company300622Agent - Casualty7/30/2007 
ActiveOhio Security Insurance Company300622Agent - Property7/30/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty9/8/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Property9/8/2007 
InactivePeerless Insurance Company301910Agent - Casualty9/8/20075/8/2025
InactivePeerless Insurance Company301910Agent - Property9/8/20075/8/2025
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20078/3/2010
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20078/3/2010
InactiveProgressive Casualty Insurance Company300696Agent - Casualty7/5/20071/15/2011
InactiveProgressive Casualty Insurance Company300696Agent - Property7/5/20071/15/2011
InactiveProgressive Northern Insurance Company301378Agent - Casualty7/5/20071/15/2011
InactiveProgressive Northern Insurance Company301378Agent - Property7/5/20071/15/2011
ActiveSAFECO Insurance Company of America300159Agent - Casualty11/14/2018 
ActiveSAFECO Insurance Company of America300159Agent - Property11/14/2018 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty11/14/2018 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property11/14/2018 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty12/13/2021 
ActiveState Automobile Mutual Insurance Company301824Agent - Property12/13/2021 
ActiveTrexis Insurance Corporation599902Agent - Casualty6/27/2024 
ActiveTrexis One Insurance Corporation684197Agent - Casualty6/27/2024 
InactiveTruck Insurance Exchange300335Agent - Casualty2/16/20098/29/2012
InactiveTruck Insurance Exchange300335Agent - Property2/16/20098/29/2012
InactiveUnited Financial Casualty Company301886Agent - Casualty7/5/20071/15/2011
InactiveUnited Financial Casualty Company301886Agent - Property7/5/20071/15/2011
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty7/5/20077/28/2017
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property7/5/20077/28/2017
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty7/5/200712/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property7/5/200712/2/2013
ActiveWest American Insurance Company301112Agent - Casualty7/30/2007 
ActiveWest American Insurance Company301112Agent - Property7/30/2007 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life2/3/20112/3/2025
InactiveDesignated Agent Company Inc.681257Agent - Health2/3/20112/3/2025
ActiveGoodwin Insurance Agency Of Cadiz, LLC745365Agent - Casualty1/4/2011 
ActiveGoodwin Insurance Agency Of Cadiz, LLC745365Agent - Property1/4/2011 
ActiveGoodwin Insurance Agency Of Cadiz, LLC745365Agent - Life2/3/2011 
ActiveGoodwin Insurance Agency Of Cadiz, LLC745365Agent - Health2/3/2011 
ActiveGoodwin Insurance Agency, Inc.634904Agent - Casualty7/2/2007 
ActiveGoodwin Insurance Agency, Inc.634904Agent - Property7/2/2007 
InactiveMedlink Inc400721Agent - Life6/5/20123/31/2024
InactiveMedlink Inc400721Agent - Health6/5/20123/31/2024
InactiveQuality Ford Auto Sales Inc.Dba Quality Ford Mer400703Agent - Credit Life & Health12/7/19921/23/1997
InactiveTrice-Hughes Inc.515632Agent - Limited Line Credit1/5/20045/31/2004

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