DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Mary Ann	DOIID	981524	NAIC NPN	16415875

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/12/2018		2/28/2025
Active	Non Resident	Agent	Casualty	1/12/2018		2/28/2025
* 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	ACE American Insurance Company	300625	Agent - Casualty	11/6/2019
Active	ACE American Insurance Company	300625	Agent - Property	11/6/2019
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/15/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/15/2020
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	11/6/2019
Active	Bankers Standard Insurance Company	301620	Agent - Property	11/6/2019
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	11/6/2019
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	11/6/2019
Active	Chubb National Insurance Company	301392	Agent - Casualty	11/6/2019
Active	Chubb National Insurance Company	301392	Agent - Property	11/6/2019
Active	Federal Insurance Company	301144	Agent - Casualty	11/6/2019
Active	Federal Insurance Company	301144	Agent - Property	11/6/2019
Active	Great Northern Insurance Company	301107	Agent - Casualty	11/6/2019
Active	Great Northern Insurance Company	301107	Agent - Property	11/6/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	5/1/2020
Active	Pacific Indemnity Company	301610	Agent - Casualty	11/6/2019
Active	Pacific Indemnity Company	301610	Agent - Property	11/6/2019
Active	Vigilant Insurance Company	301143	Agent - Casualty	11/6/2019
Active	Vigilant Insurance Company	301143	Agent - Property	11/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty