DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaine, Lara Emily	DOIID	867588	NAIC NPN	8763224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/2/2015		12/31/2025
Active	Non Resident	Agent	Health	2/2/2015		12/31/2025
Active	Non Resident	Agent	Property	2/2/2015		12/31/2025
Active	Non Resident	Agent	Casualty	2/2/2015		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	2/3/2020
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	2/3/2020
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	2/3/2020
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	2/3/2020
Active	Campmed Casualty & Indemnity Company, Inc.	693047	Agent - Casualty	2/3/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	2/3/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Property	2/3/2020
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	2/3/2020
Active	Hanover Insurance Company (The)	300508	Agent - Property	2/3/2020
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	2/3/2020
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	2/3/2020
Active	Medical Protective Company (The)	301207	Agent - Casualty	3/18/2015
Active	Medical Protective Company (The)	301207	Agent - Property	3/18/2015
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	2/3/2020
Active	Verlan Fire Insurance Company	517102	Agent - Property	2/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Treloar & Heisel, Inc.	516754	Agent - Casualty	3/18/2015
Active	Treloar & Heisel, Inc.	516754	Agent - Property	3/18/2015