DEPARTMENT OF INSURANCE

Affiliations

Name	Blake Jr, Albert Gene	DOIID	628011	NAIC NPN	7398457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/18/2006	10/1/2018
Inactive	Resident	Agent	Life	4/18/2006	10/1/2018
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/22/2009	2/8/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/22/2009	2/8/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	9/8/2006	3/15/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	9/8/2006	3/15/2011
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	1/30/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/15/2007	12/24/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/15/2007	12/24/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/22/2010	1/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	1/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	1/30/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	1/30/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2006	1/30/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	1/30/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2006	1/30/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/7/2008	1/30/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/7/2008	1/30/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	1/30/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	1/30/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/10/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/10/2009	5/13/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/9/2007	5/14/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/25/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/25/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	12/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/6/2009	11/12/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/6/2009	11/12/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2006	11/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/17/2006	12/10/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/17/2006	12/10/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	6/28/2006	11/9/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2006	11/9/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2006	11/9/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/2/2006	1/30/2018
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	10/2/2006	1/30/2018