DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Michael R	DOIID	553244	NAIC NPN	948665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/26/2002		4/30/2027
Active	Non Resident	Agent	Life	8/26/2002		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/16/2021	3/6/2025
Active	American General Life Insurance Company	301585	Agent - Health	9/29/2023
Active	American General Life Insurance Company	301585	Agent - Life	9/29/2023
Active	Equitable Financial Life Insurance Company	300808	Agent - Health	11/29/2011
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	11/29/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/26/2002	11/13/2012
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/26/2002	11/13/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/10/2004	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/10/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/11/2012
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/10/2004	12/11/2006
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2013
Active	Pacific Life Insurance Company	301848	Agent - Health	11/3/2013
Active	Pacific Life Insurance Company	301848	Agent - Life	11/3/2013
Active	Principal Life Insurance Company	300129	Agent - Health	1/3/2025
Active	Principal Life Insurance Company	300129	Agent - Life	1/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blair Agency Inc The	552890	Agent - Health	1/16/2019	5/27/2026
Inactive	Blair Agency Inc The	552890	Agent - Life	1/14/2019	5/27/2026