DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Christopher Peace	DOIID	628408	NAIC NPN	2801718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/21/2006	5/31/2015
Inactive	Non Resident	Agent	Life	3/21/2006	5/31/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/25/2008	4/10/2009
Inactive	Aetna Health Insurance Company	301583	Agent - Health	11/25/2008	4/10/2009
Inactive	Aetna Health Insurance Company	301583	Agent - Life	11/25/2008	4/1/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/25/2008	4/10/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/25/2008	4/1/2009
Inactive	American National Insurance Company	301861	Agent - Health	3/16/2009	5/31/2015
Inactive	American National Insurance Company	301861	Agent - Life	3/16/2009	5/31/2015
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/10/2012	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/10/2012	6/11/2014
Inactive	Family Life Insurance Company	300356	Agent - Health	7/15/2009	12/28/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Health	8/16/2011	8/6/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/16/2011	8/6/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/7/2012	4/22/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/7/2012	4/22/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/15/2006	1/16/2008
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2006	1/16/2008
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2006	1/16/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/6/2007	1/16/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/6/2007	1/16/2008
Inactive	Integrity Life Insurance Company	301687	Agent - Life	4/23/2009	9/27/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/2/2008	10/20/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	6/28/2007	3/31/2010
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	6/28/2007	3/31/2010
Inactive	Omaha Insurance Company	751908	Agent - Health	6/4/2012	9/22/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/14/2006	4/29/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/14/2006	4/29/2009
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/2/2008	3/31/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	4/3/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	4/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	4/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/24/2007	4/29/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Planners Financial Services of America	398106	Agent - Life	1/17/2007	8/30/2007
Inactive	United Planners Financial Services of America	398106	Agent - Health	1/17/2007	8/30/2007