DEPARTMENT OF INSURANCE

Affiliations

Name	Evensen, Blake Patrick	DOIID	1136027	NAIC NPN	19915327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	9/22/2025		2/28/2027
Inactive	Non Resident	Agent	Health	5/24/2021	2/28/2025
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2024	2/28/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2024	2/28/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/26/2024	2/28/2025
Inactive	Allstate Indemnity Company	300778	Agent - Personal Lines	9/24/2025	8/29/2026
Inactive	Allstate Insurance Company	300773	Agent - Personal Lines	9/24/2025	8/29/2026
Inactive	Allstate North America Insurance Company	1121481	Agent - Personal Lines	9/24/2025	8/29/2026
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Personal Lines	9/24/2025	8/29/2026
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Personal Lines	9/24/2025	8/29/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/17/2024	2/28/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	1/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/17/2024	2/28/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/4/2022	10/16/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/22/2024	4/7/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/17/2024	2/28/2025
Inactive	Humana Insurance Company	301104	Agent - Health	8/4/2021	10/16/2023
Active	Integon General Insurance Corporation	301186	Agent - Personal Lines	5/20/2026
Active	Integon Indemnity Corporation	300674	Agent - Personal Lines	5/20/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/28/2024	2/28/2025
Active	National General Insurance Company	300152	Agent - Personal Lines	5/20/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/26/2024	2/28/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2024	4/7/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/25/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/25/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/22/2024	4/7/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	1/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Direct General Insurance Agency Inc	1018980	Agent - Personal Lines	5/11/2026
Active	National General Ins Marketing Inc	621228	Agent - Personal Lines	5/12/2026