DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Amanda Page	DOIID	917755	NAIC NPN	17453253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/13/2016	9/25/2020
Inactive	Non Resident	Agent	Life	6/13/2016	9/25/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2016	9/25/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/18/2017	12/15/2020
Denied	Aetna Health of Ohio Inc.	1065035	Agent - Health
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/15/2016	9/25/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/15/2016	9/25/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/18/2017	12/15/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/16/2019	11/20/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/16/2019	11/20/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/14/2018	12/10/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/18/2017	12/15/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/15/2016	9/25/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/29/2016	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/15/2016	9/25/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/14/2018	5/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/9/2018	5/9/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/14/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/14/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/14/2018	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/20/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/20/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/14/2018	5/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/14/2018	5/9/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/7/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/7/2017	12/21/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	8/22/2017	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	9/25/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	3/23/2018	3/30/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	9/25/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	9/25/2020

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	8/16/2019	11/20/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/16/2019	11/20/2020
Inactive	Tiburon Insurance Services	654167	Agent - Life	7/29/2016	9/25/2020
Inactive	Tiburon Insurance Services	654167	Agent - Health	7/29/2016	9/25/2020