DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blomquist, Jason R	DOIID	936612	NAIC NPN	2193353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/14/2016		8/31/2025
Active	Non Resident	Agent	Health	11/14/2016		8/31/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/28/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	2/28/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	2/28/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/15/2016	11/1/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/15/2016	11/1/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/28/2017	6/15/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	3/10/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	3/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance Agency LTD	552246	Agent - Life	12/21/2016	3/31/2022
Inactive	Assurance Agency LTD	552246	Agent - Health	12/21/2016	3/31/2022
Active	Designated Agent Company Inc.	681257	Agent - Life	12/21/2016
Active	Designated Agent Company Inc.	681257	Agent - Health	12/21/2016
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	9/30/2020
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	9/30/2020