DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blohm III, Frederick George	DOIID	732753	NAIC NPN	7313414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	7/19/2010		6/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	2/7/2011		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aig Claims Inc	401148	Independent Adjuster - Workers' Compensation	3/1/2011
Active	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	3/1/2011
Active	Private Client Select Insurance Services LLC	1242047	Independent Adjuster - Property & Casualty	11/21/2022