DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Dale Elliott	DOIID	864707	NAIC NPN	2847381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/28/2021	3/31/2026
Active	Non Resident	Agent	Health	6/28/2021	3/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/8/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/26/2025
Active	Anthem Life Insurance Company	301209	Agent - Life	1/26/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/6/2021	2/4/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/6/2021	2/4/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/12/2015	3/23/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	1/14/2015	3/31/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	1/14/2015	3/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/12/2015	3/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/12/2015	3/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/12/2015	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/12/2015	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/12/2015	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/12/2015	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/12/2015	3/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/12/2015	3/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/12/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/12/2015	10/22/2015
Active	SilverScript Insurance Company	663526	Agent - Health	7/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/13/2023	2/4/2025
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/13/2023