DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bir, Blake	DOIID	958656	NAIC NPN	18115138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/27/2017		3/31/2025
Active	Non Resident	Agent	Life	6/27/2017		3/31/2025
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	6/17/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	6/17/2020
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	7/20/2021	7/19/2023
Active	Augustar Life Assurance Corporation	301113	Agent - Life	7/20/2021
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/21/2019
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/15/2019
Active	Minnesota Life Insurance Company	300488	Agent - Health	6/29/2017
Active	Minnesota Life Insurance Company	300488	Agent - Life	6/29/2017
Active	Principal Life Insurance Company	300129	Agent - Health	11/14/2017
Active	Principal Life Insurance Company	300129	Agent - Life	11/14/2017
Active	Standard Insurance Company	300185	Agent - Health	12/19/2022
Active	Standard Insurance Company	300185	Agent - Life	12/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cetera Advisor Networks LLC	400814	Agent - Life	9/14/2023
Active	Cetera Advisor Networks LLC	400814	Agent - Health	9/14/2023