DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair Assoc Ins Agcy Inc	DOIID	812570	NAIC NPN	957692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/8/2014	2/19/2018
Inactive	Non Resident	Agent	Property	6/17/2013	2/19/2018
Inactive	Non Resident	Agent	Casualty	6/17/2013	2/19/2018
* 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	Meridian Security Insurance Company	300423	Agent - Casualty	7/3/2013	4/10/2017
Inactive	Meridian Security Insurance Company	300423	Agent - Property	7/3/2013	4/10/2017
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	8/26/2016	2/6/2017
Inactive	Selective Insurance Company of America	500018	Agent - Property	8/26/2016	2/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	8/26/2016	2/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	8/26/2016	2/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/26/2016	2/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	8/26/2016	2/6/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/3/2013	4/10/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/3/2013	4/10/2017
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/3/2013	4/10/2017
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/3/2013	4/10/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reilly, Mark T	769362	Agent - Casualty	6/17/2013	2/19/2018
Inactive	Reilly, Mark T	769362	Agent - Life	4/8/2014	2/19/2018
Inactive	Reilly, Mark T	769362	Agent - Property	6/17/2013	2/19/2018