DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, William	DOIID	716310	NAIC NPN	7528795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/21/2009	4/30/2015
Inactive	Non Resident	Agent	Health	10/21/2009	4/30/2015
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	11/2/2009	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/2/2009	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/2/2009	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/2/2009	12/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	12/7/2009	12/15/2009
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	12/7/2009	12/15/2009