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	Health	6/28/2021	3/31/2026
Active	Non Resident	Agent	Life	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/26/2025	4/15/2025
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