DEPARTMENT OF INSURANCE
Affiliations
NameBlake, Gregory DOIID894927NAIC NPN17098768
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/9/2015 8/31/2027
ActiveNon ResidentAgentVariable Life and Variable Annuities10/9/2015 8/31/2027
ActiveNon ResidentAgentLife10/9/2015 8/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/202506/02/202506/02/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life11/27/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities11/27/2023 
ActiveAthene Annuity and Life Company301893Agent - Life6/11/2020 
ActiveBrighthouse Life Insurance Company301829Agent - Health10/6/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life10/6/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities10/6/2016 
ActiveEagle Life Insurance Company701261Agent - Life8/25/2021 
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities9/25/2019 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/22/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/22/20223/22/2023
ActiveForethought Life Insurance Company301407Agent - Life6/20/2024 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/15/201912/21/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/15/201912/21/2022
InactiveJackson National Life Insurance Company300486Agent - Life10/13/20154/28/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/13/20154/28/2021
InactiveLincoln Life Assurance Company of Boston301915Agent - Life10/21/201510/10/2019
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life10/19/2016 
ActiveMinnesota Life Insurance Company300488Agent - Health3/12/2021 
ActiveMinnesota Life Insurance Company300488Agent - Life3/12/2021 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities3/12/2021 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/16/2015 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities10/16/2015 
ActivePacific Life Insurance Company301848Agent - Life12/30/2015 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/30/2015 
ActiveState Life Insurance Company301497Agent - Health9/2/2024 
ActiveState Life Insurance Company301497Agent - Life9/2/2024 
ActiveWestern-Southern Life Assurance Company301590Agent - Health10/17/2016 
ActiveWestern-Southern Life Assurance Company301590Agent - Life10/17/2016 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePnc Insurance Services LLC400874Agent - Health9/12/2025 
ActivePnc Insurance Services LLC400874Agent - Life9/12/2025 
ActivePnc Insurance Services LLC400874Agent - Variable Life and Variable Annuities9/12/2025 

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