DEPARTMENT OF INSURANCE

Affiliations

Name	Bellamy, Blaine Larsen	DOIID	642219	NAIC NPN	8946832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	5/9/2017	2/28/2025
Active	Resident	Agent	Property	5/9/2017	2/28/2025
Active	Resident	Agent	Health	5/9/2017	2/28/2025
Active	Resident	Agent	Life	5/9/2017	2/28/2025
* 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	Allstate Indemnity Company	300778	Agent - Casualty	5/17/2023	5/18/2024
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/17/2023	5/18/2024
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/17/2023	5/18/2024
Inactive	Allstate Insurance Company	300773	Agent - Property	5/17/2023	5/18/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/17/2023	5/18/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/17/2023	5/18/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/17/2023	5/18/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/17/2023	5/18/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/29/2014	3/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/29/2014	3/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	3/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	3/1/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	1/17/2011	1/21/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	1/17/2011	1/21/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	1/17/2011	1/21/2014
Inactive	Assurance Company of America	300432	Agent - Property	1/17/2011	1/21/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/5/2016	3/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/15/2019	11/25/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/15/2019	11/25/2019
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/18/2007	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/18/2007	11/12/2012
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	10/30/2019
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	10/30/2019
Active	CSAA General Insurance Company	606675	Agent - Casualty	10/30/2019
Active	CSAA General Insurance Company	606675	Agent - Property	10/30/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/28/2016	3/1/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/28/2016	3/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/29/2014	3/1/2017
Active	Continental Casualty Company	301019	Agent - Casualty	10/3/2017
Active	Continental Casualty Company	301019	Agent - Property	10/3/2017
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	5/15/2018	6/20/2023
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	5/15/2018	6/20/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/18/2019	5/4/2023
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/18/2019	5/4/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/28/2017	11/25/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2017	11/25/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/28/2017	6/8/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/28/2017	6/8/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/28/2017	6/8/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/28/2017	6/8/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/2/2014	3/1/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/2/2014	3/1/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/2/2014	3/1/2017
Inactive	Grange Insurance Company	300234	Agent - Property	9/2/2014	3/1/2017
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/2/2014	3/1/2017
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/2/2014	3/1/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/2/2014	3/1/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/2/2014	3/1/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/18/2018	7/24/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/18/2018	7/24/2023
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/15/2019	12/10/2020
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/15/2019	12/10/2020
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	12/6/2017
Active	Hartford Fire Insurance Company	300628	Agent - Property	12/6/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/7/2020	7/24/2023
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/7/2020	7/24/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	5/26/2019	7/24/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	5/26/2019	7/24/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	8/29/2014	3/1/2017
Inactive	Maryland Casualty Company	301719	Agent - Casualty	1/17/2011	1/21/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	1/17/2011	1/21/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/18/2007	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/18/2007	11/12/2012
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/29/2014	3/1/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/17/2011	1/21/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/17/2011	1/21/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/29/2014	3/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/29/2014	3/1/2017
Inactive	Pacific Life Insurance Company	301848	Agent - Health	6/20/2019	12/10/2022
Inactive	Pacific Life Insurance Company	301848	Agent - Life	6/20/2019	12/10/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/29/2014	3/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/29/2014	3/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	8/29/2014	3/1/2017
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/12/2008	3/1/2017
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/12/2008	3/1/2017
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/29/2018	9/25/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/29/2018	9/25/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/31/2015	3/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/31/2015	3/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/31/2015	3/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/31/2015	3/1/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/9/2015	3/1/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/9/2015	3/1/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/5/2015	3/1/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/5/2015	3/1/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/2/2014	3/1/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/2/2014	3/1/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/17/2018	7/24/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/17/2018	7/24/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2019	8/12/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	8/12/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/21/2019	8/12/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2019	8/12/2020
Inactive	West American Insurance Company	301112	Agent - Casualty	8/29/2014	3/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	8/29/2014	3/1/2017
Inactive	West Coast Life Insurance Company	301607	Agent - Health	4/3/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/3/2008	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Professional Insurance Plans, Inc.	663186	Agent - Casualty	8/12/2019
Active	Professional Insurance Plans, Inc.	663186	Agent - Property	8/12/2019
Inactive	Professional Insurance Plans, Inc.	663186	Agent - Health	8/12/2019	12/10/2022
Inactive	Professional Insurance Plans, Inc.	663186	Agent - Life	8/12/2019	12/10/2022