DEPARTMENT OF INSURANCE

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.

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