DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Jeffrey Lucas	DOIID	1257184	NAIC NPN	20622208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/6/2023		5/31/2027
Active	Resident	Agent	Life	4/30/2026		5/31/2027
Active	Resident	Agent	Casualty	4/6/2023		5/31/2027
Active	Resident	Agent	Health	11/5/2026		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/14/2026
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/14/2026
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/30/2026
Active	Bristol West Insurance Company	301655	Agent - Property	7/30/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/30/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/30/2026
Active	Markel American Insurance Company	300377	Agent - Casualty	11/25/2025
Active	Markel American Insurance Company	300377	Agent - Property	11/25/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/12/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/12/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	4/12/2023
Active	United Financial Casualty Company	301886	Agent - Property	4/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackburn Insurance Group Inc	749040	Agent - Casualty	2/19/2026
Active	Blackburn Insurance Group Inc	749040	Agent - Property	2/19/2026