DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benson, Blake	DOIID	866470	NAIC NPN	6868270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	1/22/2015		7/31/2026
* 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	05/15/2024	07/31/2024	05/22/2024	05/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide General Insurance Company	300603	Agent - Personal Lines	1/26/2015	7/30/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Personal Lines	1/26/2015	7/30/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Personal Lines	1/26/2015	7/30/2015
Active	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	1/26/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Personal Lines	1/26/2015	7/30/2015
Inactive	Titan Indemnity Company	300556	Agent - Personal Lines	1/26/2015	7/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	8/4/2015