DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Jeremy Dean	DOIID	573858	NAIC NPN	7816163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/13/2004	1/31/2027
Active	Resident	Agent	Life	1/13/2004	1/31/2027
Active	Resident	Agent	Casualty	8/11/2003	1/31/2027
Active	Resident	Agent	Property	8/13/2003	1/31/2027
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/28/2015	10/6/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/28/2015	10/6/2016
Inactive	All America Insurance Company	300078	Agent - Casualty	8/11/2015	1/19/2017
Inactive	All America Insurance Company	300078	Agent - Property	8/11/2015	1/19/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	5/27/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/22/2006	8/16/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/22/2006	8/16/2016
Active	Ansur America Insurance Company	520667	Agent - Casualty	11/22/2019
Active	Ansur America Insurance Company	520667	Agent - Property	11/22/2019
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	3/3/2017
Active	Auto-Owners Insurance Company	301480	Agent - Property	3/3/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/29/2017	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/29/2017	12/20/2024
Inactive	Central Insurance Company	300965	Agent - Casualty	8/11/2015	1/19/2017
Inactive	Central Insurance Company	300965	Agent - Property	8/11/2015	1/19/2017
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	4/18/2017
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	4/18/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	4/18/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	4/18/2017
Active	Cincinnati Insurance Company	301298	Agent - Casualty	4/18/2017
Active	Cincinnati Insurance Company	301298	Agent - Property	4/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/18/2017	4/2/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/19/2024
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	8/16/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	8/16/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/11/2011	7/21/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/11/2011	7/21/2014
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	8/22/2017
Active	EMCASCO Insurance Company	842790	Agent - Property	8/22/2017
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	8/22/2017
Active	Employers Mutual Casualty Company	300202	Agent - Property	8/22/2017
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	4/20/2009	12/9/2010
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	4/20/2009	12/9/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/29/2017	5/10/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/29/2017	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/29/2017	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/29/2017	5/10/2018
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	11/22/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	11/22/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/31/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/31/2019
Active	Grange Insurance Company	300234	Agent - Casualty	10/31/2019
Active	Grange Insurance Company	300234	Agent - Property	10/31/2019
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/2/2005	10/3/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/2/2005	10/3/2016
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/31/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/31/2019
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/22/2017	1/29/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/22/2017	1/29/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/25/2017	9/26/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/25/2017	9/26/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	8/16/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	8/16/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	1/30/2008	1/24/2019
Inactive	Kentucky National Insurance Company	301625	Agent - Property	1/30/2008	1/24/2019
Active	Keystone National Insurance Company	745173	Agent - Casualty	11/7/2017
Active	Keystone National Insurance Company	745173	Agent - Property	11/7/2017
Active	Milbank Insurance Company	925185	Agent - Casualty	7/12/2020
Active	Milbank Insurance Company	925185	Agent - Property	7/12/2020
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	12/23/2015	2/27/2019
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	12/23/2015	2/27/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	8/16/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	8/16/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/22/2006	8/16/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/22/2006	8/16/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/22/2006	8/16/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/22/2006	8/16/2016
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/9/2021
Active	Owners Insurance Company	300796	Agent - Casualty	3/3/2017
Active	Owners Insurance Company	300796	Agent - Property	3/3/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	8/16/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	8/16/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	8/16/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	8/16/2016
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	3/20/2017
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	3/20/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/15/2016	10/27/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/15/2016	10/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/15/2016	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/15/2016	5/27/2022
Active	Selective Insurance Company of America	500018	Agent - Casualty	9/14/2016
Active	Selective Insurance Company of America	500018	Agent - Property	9/14/2016
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/14/2016
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	9/14/2016
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/14/2016
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	9/14/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/22/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/22/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/26/2017	9/26/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/26/2017	9/26/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/31/2019
Active	Trustgard Insurance Company	300104	Agent - Property	10/31/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/1/2017	12/5/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/1/2017	12/5/2018
Active	Union Insurance Company of Providence	842791	Agent - Casualty	8/22/2017
Active	Union Insurance Company of Providence	842791	Agent - Property	8/22/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	3/22/2006	8/16/2016
Inactive	West American Insurance Company	301112	Agent - Property	3/22/2006	8/16/2016
Active	West Bend Insurance Company	672974	Agent - Casualty	12/7/2017
Active	West Bend Insurance Company	672974	Agent - Property	12/7/2017
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/9/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	6/7/2017
Active	Westfield Insurance Company	301950	Agent - Property	6/7/2017
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	7/10/2014	8/12/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	7/10/2014	8/12/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	7/10/2014	8/12/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	7/10/2014	8/12/2016
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Casualty	11/22/2005	3/28/2018
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Property	11/22/2005	3/28/2018
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Health	2/10/2009	10/3/2016
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Life	11/22/2005	10/3/2016
Active	Ferrell and Evans, LLC	398891	Agent - Casualty	1/13/2017
Active	Ferrell and Evans, LLC	398891	Agent - Property	1/13/2017
Inactive	Ferrell and Evans, LLC	398891	Agent - Health	4/18/2017	4/2/2024
Inactive	Ferrell and Evans, LLC	398891	Agent - Life	4/18/2017	4/2/2024