DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Blake	DOIID	1077424	NAIC NPN	18775452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/10/2020		4/30/2026
Active	Non Resident	Agent	Life	3/10/2020		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/3/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	4/3/2020
Active	SiriusPoint America Insurance Company	301148	Agent - Health	4/13/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Point6 Healthcare, LLC	1000101	Agent - Life	5/4/2020	3/31/2024
Inactive	Point6 Healthcare, LLC	1000101	Agent - Health	5/4/2020	3/31/2024