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DEPARTMENT OF INSURANCE
Affiliations
Name
Simmons, Blake
DOIID
883657
NAIC NPN
17652806
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
3/3/2016
12/1/2018
Inactive
Resident
Agent
Health
3/3/2016
12/1/2018
* 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
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/30/2016
2/6/2018
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/30/2016
2/6/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
8/30/2016
2/5/2018
Inactive
Designated Agent Company Inc.
681257
Agent - Health
8/30/2016
2/5/2018
Inactive
Houchens Insurance Group, Inc.
637099
Agent - Life
8/31/2016
7/12/2017
Inactive
Houchens Insurance Group, Inc.
637099
Agent - Health
8/31/2016
7/12/2017
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