DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaum Jr, Gerald F	DOIID	393873	NAIC NPN	624378

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	8/9/1999	11/30/2013
Inactive	Non Resident	Agent	Health	11/8/1999	11/30/2013
Inactive	Non Resident	Agent	Life	11/8/1999	11/30/2013
* 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	Southland Life Insurance Company	301175	Agent - Health	11/8/1999	2/28/2003
Inactive	Southland Life Insurance Company	301175	Agent - Life	11/8/1999	2/28/2003
Inactive	Symetra Life Insurance Company	301691	Agent - Health	9/26/2007	12/16/2013
Inactive	Symetra Life Insurance Company	301691	Agent - Life	9/26/2007	12/16/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Loomis Company [The]	401159	Administrator - Not Applicable	8/9/1999	8/7/2013
Inactive	Loomis Company [The]	401159	Agent - Life	10/3/2007	8/7/2013
Inactive	Loomis Company [The]	401159	Agent - Health	10/3/2007	8/7/2013