DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Osborne, Blake	DOIID	1257873	NAIC NPN	20622728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/23/2023		4/30/2026
Active	Non Resident	Agent	Life	6/27/2024		4/30/2026
Active	Non Resident	Agent	Health	6/27/2024		4/30/2026
Active	Non Resident	Agent	Casualty	2/23/2023		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
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	4/10/2023	3/19/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/10/2023	3/19/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/8/2024	3/27/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/8/2024	3/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/8/2024	3/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/8/2024	3/27/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/1/2024	3/18/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Insurance Company	300234	Agent - Property	3/1/2024	3/18/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/1/2024	3/18/2024
Inactive	National General Insurance Company	300152	Agent - Casualty	5/31/2024	10/16/2024
Inactive	National General Insurance Company	300152	Agent - Property	5/31/2024	10/16/2024
Inactive	Nationwide Life and Benefits Insurance Company	301045	Agent - Life	7/1/2024	10/16/2024
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/1/2024	3/18/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/1/2024	3/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	7/19/2024	10/16/2024
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	7/19/2024	10/16/2024
Inactive	Branch Financial Inc	1120010	Agent - Casualty	3/8/2023	6/27/2023
Inactive	Branch Financial Inc	1120010	Agent - Property	3/8/2023	6/27/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	7/19/2024	10/16/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	7/19/2024	10/16/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Life	7/19/2024	10/16/2024
Denied	Direct General Insurance Agency Inc	1018980	Agent - Health
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	7/19/2024	10/16/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Property	7/19/2024	10/16/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Life	7/19/2024	10/16/2024
Denied	National General Ins Marketing Inc	621228	Agent - Health