DEPARTMENT OF INSURANCE

Affiliations

Name	Blauvelt, Martha S	DOIID	503052	NAIC NPN	1479086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2008
Inactive	Non Resident	Agent	Property	8/15/2000	12/31/2008
Inactive	Non Resident	Agent	General Lines	2/29/2000	8/15/2000
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	12/6/2000	12/17/2007
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	12/6/2000	12/17/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/16/2001	12/31/2008
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/16/2001	12/31/2008
Inactive	Globe American Casualty Company	301033	Agent - Casualty	11/6/2000	5/30/2002
Inactive	Globe American Casualty Company	301033	Agent - Property	11/6/2000	5/30/2002
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/15/2000	4/15/2005
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	3/23/2000	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/15/2000	4/15/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/16/2001	12/31/2008
Inactive	Indiana Insurance Company	301909	Agent - Property	4/16/2001	12/31/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/16/2001	12/31/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/16/2001	12/31/2008
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	6/5/2002	6/6/2005
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	6/5/2002	6/6/2005
Inactive	Owners Insurance Company	300796	Agent - Casualty	12/6/2000	12/17/2007
Inactive	Owners Insurance Company	300796	Agent - Property	12/6/2000	12/17/2007
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/16/2001	12/31/2008
Inactive	Peerless Insurance Company	301910	Agent - Property	4/16/2001	12/31/2008
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	4/15/2005
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	3/23/2000	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	4/15/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	4/15/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/29/2000	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	4/15/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mainsource Ins LLC	612543	Agent - Property	9/26/2005	12/31/2008
Inactive	Mainsource Ins LLC	612543	Agent - Casualty	9/26/2005	12/31/2008
Inactive	TEBA, Inc.	400866	Agent - Property	6/14/2004	2/14/2007
Inactive	TEBA, Inc.	400866	Agent - Casualty	6/14/2004	2/14/2007