DEPARTMENT OF INSURANCE

Affiliations

Name	Blaich, Kenneth Bruce	DOIID	882831	NAIC NPN	2523066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/9/2015	11/30/2025
Active	Non Resident	Agent	Property	7/9/2015	11/30/2025
Active	Non Resident	Agent	Health	7/9/2015	11/30/2025
Active	Non Resident	Agent	Casualty	7/9/2015	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	6/22/2023
Active	AGCS Marine Insurance Company	300403	Agent - Property	6/22/2023
Active	American Contractors Indemnity Company	536843	Agent - Casualty	9/27/2024
Active	American Fire and Casualty Company	300567	Agent - Casualty	8/18/2015
Active	American Fire and Casualty Company	300567	Agent - Property	8/18/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/18/2015	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/18/2015	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/18/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/18/2015	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/18/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/18/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/18/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/18/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/18/2015
Active	Ohio Security Insurance Company	300622	Agent - Property	8/18/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/18/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	8/18/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	8/18/2015
Active	Peerless Insurance Company	301910	Agent - Property	8/18/2015
Inactive	Star Insurance Company	301553	Agent - Casualty	8/14/2015	7/10/2023
Inactive	Star Insurance Company	301553	Agent - Property	8/14/2015	7/10/2023
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	9/27/2024
Active	West American Insurance Company	301112	Agent - Casualty	8/18/2015
Active	West American Insurance Company	301112	Agent - Property	8/18/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	6/28/2023
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	6/28/2023
Denied	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Life
Denied	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Health
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Property	8/14/2015	5/7/2024
Inactive	Leavitt Ins Services Of Los Angeles Inc	782663	Agent - Casualty	8/14/2015	5/7/2024