DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn Insurance Group Inc	DOIID	749040	NAIC NPN	16161546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	3/1/2011	3/31/2025
Active	Resident	Agent	Health	3/1/2011	3/31/2025
Active	Resident	Agent	Property	3/1/2011	3/31/2025
Active	Resident	Agent	Casualty	3/1/2011	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	4/26/2017	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/26/2017	11/9/2022
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	6/7/2018
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	6/7/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/2/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/2/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/13/2012	2/7/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/13/2012	2/7/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/24/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/24/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/25/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/25/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/1/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/1/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/17/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/17/2016	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	9/11/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	9/11/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/1/2013
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/14/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	7/1/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	7/1/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	7/29/2019	12/15/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/14/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/14/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	9/14/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/14/2020
Active	Principal Life Insurance Company	300129	Agent - Health	8/27/2018
Active	Principal Life Insurance Company	300129	Agent - Life	8/27/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/2/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/2/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/25/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/25/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/10/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/10/2020	3/29/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/29/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/29/2019
Active	Standard Insurance Company	300185	Agent - Health	5/4/2017
Active	Standard Insurance Company	300185	Agent - Life	5/4/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/29/2019	12/15/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/29/2019	12/15/2020
Inactive	TravCo Insurance Company	301828	Agent - Casualty	7/29/2019	12/15/2020
Inactive	TravCo Insurance Company	301828	Agent - Property	7/29/2019	12/15/2020
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	7/29/2019	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/29/2019	12/15/2020
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	2/2/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	2/2/2021
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	7/29/2019	12/15/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	6/19/2020
Active	United Financial Casualty Company	301886	Agent - Property	6/19/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Blackburn, Athea Jean	388058	Agent - Casualty	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Health	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Life	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Property	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Casualty	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Life	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Property	3/1/2011
Denied	Burchett, Jack Oakley	336930	Agent - Casualty
Denied	Burchett, Jack Oakley	336930	Agent - Property
Active	Thomas, Whitney	778657	Agent - Casualty	7/6/2022
Active	Thomas, Whitney	778657	Agent - Property	7/6/2022