DEPARTMENT OF INSURANCE

Affiliations

Name	Blain, Robert Hart	DOIID	709349	NAIC NPN	14428765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	9/15/2014	6/30/2026
Active	Resident	Agent	Casualty	9/15/2014	6/30/2026
* 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	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	10/1/2014
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/9/2022
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/9/2022
Active	American Economy Insurance Company	300315	Agent - Casualty	12/19/2023
Active	American Economy Insurance Company	300315	Agent - Property	12/19/2023
Active	American Fire and Casualty Company	300567	Agent - Casualty	9/24/2014
Active	American Fire and Casualty Company	300567	Agent - Property	9/24/2014
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/25/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/25/2019
Inactive	American States Insurance Company	301230	Agent - Casualty	10/27/2009	7/20/2011
Inactive	American States Insurance Company	301230	Agent - Property	10/27/2009	7/20/2011
Active	Ansur America Insurance Company	520667	Agent - Casualty	5/10/2024
Active	Ansur America Insurance Company	520667	Agent - Property	5/10/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	1/20/2020
Active	Auto-Owners Insurance Company	301480	Agent - Property	1/20/2020
Active	Bloomington Compensation Insurance Company	807534	Agent - Casualty	1/13/2023
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	2/9/2016	12/11/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/16/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/16/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/16/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/16/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/16/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	1/16/2024
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/24/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/24/2014	4/26/2024
Active	Encompass Indemnity Company	546376	Agent - Casualty	9/28/2018
Active	Encompass Indemnity Company	546376	Agent - Property	9/28/2018
Active	Encompass Insurance Company of America	556578	Agent - Casualty	9/28/2018
Active	Encompass Insurance Company of America	556578	Agent - Property	9/28/2018
Active	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	10/1/2014
Active	Everett Cash Mutual Insurance Company	750768	Agent - Property	10/1/2014
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	12/1/2021
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/27/2009	7/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	10/27/2009	7/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/15/2014	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/15/2014	12/20/2023
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	5/10/2024
Active	Frankenmuth Insurance Company	301481	Agent - Property	5/10/2024
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/27/2009	7/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	10/27/2009	7/20/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/13/2020
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/13/2020
Active	Grange Insurance Company	300234	Agent - Casualty	1/13/2020
Active	Grange Insurance Company	300234	Agent - Property	1/13/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/13/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/13/2020
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/24/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/24/2014	2/3/2023
Active	Insurance Company of the West	301520	Agent - Casualty	6/6/2024
Active	Insurance Company of the West	301520	Agent - Property	6/6/2024
Active	Keystone National Insurance Company	745173	Agent - Casualty	5/12/2020
Active	Keystone National Insurance Company	745173	Agent - Property	5/12/2020
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	9/24/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/24/2014	4/26/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/15/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/24/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/24/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	9/24/2014
Active	Ohio Security Insurance Company	300622	Agent - Property	9/24/2014
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/9/2021
Active	Owners Insurance Company	300796	Agent - Casualty	1/20/2020
Active	Owners Insurance Company	300796	Agent - Property	1/20/2020
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/24/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/24/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	9/24/2014
Active	Peerless Insurance Company	301910	Agent - Property	9/24/2014
Active	Plaza Insurance Company	300748	Agent - Casualty	2/25/2022
Active	Plaza Insurance Company	300748	Agent - Property	2/25/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/18/2012	7/1/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/18/2012	7/1/2014
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/1/2014
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/1/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/13/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/13/2023
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	12/8/2015	12/7/2017
Inactive	Sagamore Insurance Company	300942	Agent - Property	12/8/2015	12/7/2017
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/6/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	5/6/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Active	SummitPoint Insurance Company	819084	Agent - Casualty	6/21/2024
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/13/2020
Active	Trustgard Insurance Company	300104	Agent - Property	1/13/2020
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/14/2014	7/1/2014
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/14/2014	7/1/2014
Active	West American Insurance Company	301112	Agent - Casualty	9/24/2014
Active	West American Insurance Company	301112	Agent - Property	9/24/2014
Active	West Bend Insurance Company	672974	Agent - Casualty	9/25/2014
Active	West Bend Insurance Company	672974	Agent - Property	9/25/2014
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/9/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	10/11/2019
Active	Westfield Insurance Company	301950	Agent - Property	10/11/2019
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Al Torstrick Insurance Agency, LLC	400026	Agent - Casualty	9/24/2014
Active	Al Torstrick Insurance Agency, LLC	400026	Agent - Property	9/24/2014
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	2/29/2024
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	2/29/2024