DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Blake William	DOIID	600404	NAIC NPN	3214957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/7/2024		6/30/2027
Active	Non Resident	Agent	Life	6/7/2024		6/30/2027
Active	Non Resident	Agent	Casualty	6/7/2024		6/30/2027
Active	Non Resident	Agent	Health	6/7/2024		6/30/2027
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	7/2/2024		6/30/2027
* 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	04/15/2025	06/30/2025	05/27/2025	05/27/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Edgewood Partners Insurance Center	549891	Agent - Health
Denied	Edgewood Partners Insurance Center	549891	Agent - Life
Denied	Edgewood Partners Insurance Center	549891	Agent - Casualty
Denied	Edgewood Partners Insurance Center	549891	Agent - Property