DEPARTMENT OF INSURANCE

Affiliations

Name	Blank, David	DOIID	732747	NAIC NPN	15845810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/21/2010	5/31/2023
Inactive	Non Resident	Agent	Casualty	7/21/2010	5/31/2023
* 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	12/11/2018	4/26/2022
Inactive	Allstate Indemnity Company	300778	Agent - Property	12/11/2018	4/26/2022
Inactive	Allstate Insurance Company	300773	Agent - Casualty	12/11/2018	4/26/2022
Inactive	Allstate Insurance Company	300773	Agent - Property	12/11/2018	4/26/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	12/11/2018	4/26/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	12/11/2018	4/26/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	12/11/2018	4/26/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	12/11/2018	4/26/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/5/2010	12/13/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/5/2010	12/13/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/14/2016	6/29/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/14/2016	6/29/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	9/9/2016	1/25/2017
Inactive	Esurance Insurance Company	301072	Agent - Property	9/9/2016	1/25/2017
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	9/4/2020	12/29/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	9/4/2020	12/29/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/4/2020	5/31/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/4/2020	5/31/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/29/2018	5/31/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	11/29/2018	5/31/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	11/29/2018	5/31/2023
Inactive	Grange Insurance Company	300234	Agent - Property	11/29/2018	5/31/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/29/2018	5/31/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/29/2018	5/31/2023
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	5/24/2022	5/31/2023
Inactive	National Specialty Insurance Company	300993	Agent - Property	5/24/2022	5/31/2023
Inactive	Next Insurance US Company	1083825	Agent - Casualty	5/21/2022	5/31/2023
Inactive	Next Insurance US Company	1083825	Agent - Property	5/21/2022	5/31/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/7/2021	5/31/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/7/2021	5/31/2023
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/2/2016	7/14/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/2/2016	7/14/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/15/2016	6/20/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/15/2016	6/20/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/15/2016	6/20/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/15/2016	6/20/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/19/2014	8/2/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/19/2014	8/2/2016
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	5/24/2022	5/31/2023
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	5/24/2022	5/31/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/5/2010	12/13/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/5/2010	12/13/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	8/5/2010	8/2/2016
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	8/5/2010	8/2/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/5/2010	8/2/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/5/2010	8/2/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/5/2010	8/2/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/5/2010	8/2/2016
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	6/3/2020	5/5/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	6/3/2020	5/5/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	11/29/2018	5/31/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	11/29/2018	5/31/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/7/2021	5/31/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	7/7/2021	5/31/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	9/14/2016	6/16/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	9/14/2016	6/16/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Property	9/8/2016	7/14/2017
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	9/8/2016	7/14/2017