DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blum, David	DOIID	988480	NAIC NPN	17204956

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	4/30/2019
* 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	ACE American Insurance Company	300625	Agent - Health	1/15/2019	4/30/2019
Inactive	Federal Insurance Company	301144	Agent - Health	1/15/2019	4/30/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/11/2018	9/6/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/21/2018	5/1/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/5/2018	4/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/11/2018	8/28/2018