DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Kathy Jean	DOIID	500946	NAIC NPN	3151159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/30/1999	6/14/2004
Inactive	Non Resident	Agent	Health	12/30/1999	6/14/2004
* 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 Life Assurance Company of Florida	300171	Agent - Health	12/30/1999	10/17/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	12/30/1999	10/17/2002
Inactive	American Security Insurance Company	300901	Agent - Health	9/21/2001	10/17/2002
Inactive	Continental Casualty Company	301019	Agent - Health	5/9/2001	11/24/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Health	11/21/2001	1/22/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/11/2001	1/22/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	2/27/2001	10/15/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	2/27/2001	10/15/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Health	9/21/2001	10/15/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Life	9/21/2001	10/15/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/9/2001	11/20/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/9/2001	11/20/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	3/17/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	3/17/2003