DEPARTMENT OF INSURANCE

Affiliations

Name	Blackford, John Marcus	DOIID	610726	NAIC NPN	8501539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	7/5/2005	10/31/2024
Active	Resident	Agent	Casualty	7/5/2005	10/31/2024
Active	Resident	Agent	Life	6/28/2005	10/31/2024
Active	Resident	Agent	Health	6/28/2005	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/20/2007	2/4/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/20/2007	2/4/2009
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/3/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/3/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/15/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/15/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/16/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/16/2017	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/29/2008
Active	Bristol West Insurance Company	301655	Agent - Property	1/29/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/13/2005
Active	FB Insurance Company (The)	301763	Agent - Casualty	7/5/2005
Active	FB Insurance Company (The)	301763	Agent - Health	6/28/2005
Active	FB Insurance Company (The)	301763	Agent - Property	7/5/2005
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/12/2005
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/12/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/5/2005
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	6/28/2005
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/5/2005
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/28/2005
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/28/2005
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/29/2005	11/8/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	John Blackford Insurance Inc.	691925	Agent - Casualty	10/22/2008
Active	John Blackford Insurance Inc.	691925	Agent - Health	10/22/2008
Active	John Blackford Insurance Inc.	691925	Agent - Life	10/22/2008
Active	John Blackford Insurance Inc.	691925	Agent - Property	10/22/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	7/7/2005
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	7/7/2005
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	7/7/2005
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	7/7/2005