DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Shirley Ann	DOIID	549475	NAIC NPN	7275183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	5/28/2002	10/31/2025
Active	Resident	Agent	Casualty	2/28/2017	10/31/2025
Active	Resident	Agent	Health	5/28/2002	10/31/2025
Active	Resident	Agent	Property	1/3/2003	10/31/2025
Active	Resident	Independent Adjuster	Property & Casualty	12/15/2017	10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025
Independent Adjuster	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/19/2018	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/19/2018	11/9/2022
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	2/15/2020	5/5/2023
Inactive	Allied Insurance Company of America	793586	Agent - Property	2/15/2020	5/5/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/17/2017	8/4/2017
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/17/2017	8/4/2017
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/17/2017	8/4/2017
Inactive	Allstate Insurance Company	300773	Agent - Property	3/17/2017	8/4/2017
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	3/17/2017	8/4/2017
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	3/17/2017	8/4/2017
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	3/17/2017	8/4/2017
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	3/17/2017	8/4/2017
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	11/6/2020	3/29/2023
Inactive	AmGUARD Insurance Company	500010	Agent - Property	11/6/2020	3/29/2023
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	5/4/2005	1/20/2007
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/8/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/8/2024
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/7/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/7/2017	11/14/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	7/29/2020	8/3/2023
Inactive	American Strategic Insurance Corp	883540	Agent - Property	7/29/2020	8/3/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/28/2003	9/11/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/28/2003	9/11/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/29/2024	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/29/2024	12/20/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	6/18/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	6/18/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	6/18/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	6/18/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	6/18/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	6/18/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/24/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/30/2012	9/4/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/30/2012	9/4/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Health	7/14/2006	1/30/2011
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/14/2006	1/30/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/4/2017	8/11/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/4/2017	8/11/2023
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	1/13/2022	8/8/2023
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	1/13/2022	8/8/2023
Inactive	Erie Insurance Company	300230	Agent - Casualty	1/13/2022	8/8/2023
Inactive	Erie Insurance Company	300230	Agent - Property	1/13/2022	8/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	1/13/2022	8/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Property	1/13/2022	8/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	1/13/2022	8/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Property	1/13/2022	8/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	1/13/2022	8/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	1/13/2022	8/8/2023
Inactive	Everlake Assurance Company	300203	Agent - Life	3/24/2017	8/4/2017
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/24/2017	8/4/2017
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	1/21/2015	3/3/2015
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	1/21/2015	3/3/2015
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	1/13/2022	8/8/2023
Inactive	Flagship City Insurance Company	789965	Agent - Property	1/13/2022	8/8/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/29/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/29/2024
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/3/2003	1/26/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/31/2013	8/3/2023
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/1/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	7/1/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/1/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/1/2006	4/2/2007
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/14/2022	8/9/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	6/24/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	6/24/2008
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020	5/5/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	7/26/2017	5/5/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	7/26/2017	5/5/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	7/26/2017	5/5/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	7/26/2017	5/5/2023
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	7/26/2017	12/12/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/26/2017	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	7/26/2017	5/8/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/26/2017	5/8/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/26/2017	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/26/2017	1/1/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/26/2017	5/5/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/26/2017	5/5/2023
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/26/2017	5/5/2023
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/26/2017	5/5/2023
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	11/6/2020	3/29/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/23/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/23/2024
Active	Security National Life Insurance Company	569786	Agent - Health	2/24/2025
Active	Security National Life Insurance Company	569786	Agent - Life	2/24/2025
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/25/2023	6/20/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/25/2023	6/20/2024
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/25/2023	6/20/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/25/2023	6/20/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/25/2023	6/20/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/5/2021	8/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/5/2021	8/17/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/1/2012	3/20/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/1/2012	3/20/2019
Inactive	United American Insurance Company	300910	Agent - Health	12/20/2002	11/15/2004
Inactive	United American Insurance Company	300910	Agent - Life	12/20/2002	11/15/2004
Active	United Financial Casualty Company	301886	Agent - Casualty	6/23/2024
Active	United Financial Casualty Company	301886	Agent - Property	6/23/2024
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	1/5/2009	9/22/2009
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	1/5/2009	9/22/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	1/5/2009	9/22/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	1/5/2009	9/22/2009
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	12/7/2009	5/17/2010
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	12/7/2009	5/17/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/5/2003	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/5/2003	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	9/10/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	9/10/2009
Inactive	The Roark Agency LLC	651044	Agent - Health	6/14/2024	6/20/2024
Inactive	The Roark Agency LLC	651044	Agent - Life	6/14/2024	6/20/2024
Active	The Roark Agency LLC	651044	Agent - Property	6/14/2024
Active	The Roark Agency LLC	651044	Agent - Casualty	6/14/2024
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	1/25/2010	8/17/2023
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	1/25/2010	8/17/2023