DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackford, Scott Andrew	DOIID	749295	NAIC NPN	8163144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/3/2011	9/30/2018
Inactive	Non Resident	Agent	Health	3/3/2011	9/30/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/15/2011	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/15/2011	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/6/2011	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/6/2011	9/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/22/2011	10/2/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/22/2011	10/2/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/27/2014	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/6/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/6/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/6/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/6/2011	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/6/2011	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/6/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/6/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/6/2011	4/25/2013
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	2/5/2013	9/30/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/15/2011	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/15/2011	11/2/2016