DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Gregory Martin	DOIID	648505	NAIC NPN	7562108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/29/2007	5/31/2013
Inactive	Non Resident	Agent	Life	1/29/2007	5/31/2013
* 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	Humana Health Plan, Inc.	300142	Agent - Health	1/15/2008	4/24/2008
Inactive	Humana Insurance Company	301104	Agent - Health	1/15/2008	4/24/2008
Inactive	Humana Insurance Company	301104	Agent - Life	1/15/2008	4/24/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/15/2008	4/24/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/15/2008	4/24/2008
Inactive	USAA Life Insurance Company	300734	Agent - Health	2/19/2007	4/10/2013
Inactive	USAA Life Insurance Company	300734	Agent - Life	2/19/2007	4/10/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	7/23/2007	4/2/2013
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	7/23/2007	4/2/2013
Inactive	USAA Life General Agency Inc	399318	Agent - Life	8/27/2008	4/2/2013
Inactive	USAA Life General Agency Inc	399318	Agent - Health	8/27/2008	4/2/2013