DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fishman, Blake	DOIID	988425	NAIC NPN	18713327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/21/2018	10/3/2022
* 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	AXIS Insurance Company	301290	Agent - Health	3/27/2018	10/10/2019
Inactive	CareSource Kentucky Co.	838179	Agent - Health	6/30/2021	10/3/2022
Inactive	Federal Insurance Company	301144	Agent - Health	3/27/2018	10/5/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/12/2018	6/2/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/18/2019	10/7/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	7/16/2018	10/3/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/1/2019	10/3/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	3/26/2018	10/3/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Supreme Health Group Inc	1133079	Agent - Health	5/5/2021	10/10/2022