DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pandorf, Blythe	DOIID	554678	NAIC NPN	7378296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/14/2005	12/31/2010
Inactive	Resident	Agent	Health	11/22/2002	11/4/2005
Inactive	Non Resident	Agent	Property	12/14/2005	12/31/2010
Inactive	Resident	Agent	Life	11/25/2002	11/4/2005
* 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 Family Home Insurance Company	301817	Agent - Casualty	12/27/2005	12/31/2010
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/27/2005	12/31/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/27/2005	12/31/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/27/2005	12/31/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/27/2005	12/31/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/27/2005	12/31/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/8/2002	11/4/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/12/2002	11/4/2005
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/8/2002	11/4/2005
Inactive	State Farm General Insurance Company	301122	Agent - Property	11/12/2002	11/4/2005
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/25/2002	11/4/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/8/2002	11/4/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/22/2002	11/4/2005
Denied	Time Insurance Company	300683	Agent - Health

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	1/3/2006	12/31/2010
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	1/3/2006	12/31/2010