DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Roy Kenneth	DOIID	306164	NAIC NPN	7158377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/19/2008		7/31/2025
Active	Resident	Agent	Property	8/28/2007		7/31/2025
Active	Resident	Agent	Casualty	8/28/2007		7/31/2025
Inactive	Resident	Agent	Credit Personal Property & Unemployment	1/14/1994	3/23/1998
Inactive	Resident	Agent	Credit Life & Health	6/10/1996	10/19/1998
Inactive	Resident	Agent	General Lines	8/18/1997	8/15/2000
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	2/3/2022
Active	AMCO Insurance Company	300204	Agent - Property	2/3/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/29/2019	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/29/2019	11/9/2022
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/11/2020
Active	Allied Insurance Company of America	793586	Agent - Property	2/11/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	2/3/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	2/3/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	3/20/2000	8/15/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	6/10/1996	10/19/1998
Active	American Economy Insurance Company	300315	Agent - Casualty	8/26/2022
Active	American Economy Insurance Company	300315	Agent - Property	8/26/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/29/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/29/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/23/2017
Active	Bristol West Insurance Company	301655	Agent - Property	3/23/2017
Active	Depositors Insurance Company	301634	Agent - Casualty	2/3/2022
Active	Depositors Insurance Company	301634	Agent - Property	2/3/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/15/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/15/2010
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	8/17/2015	5/10/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	8/17/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/17/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/17/2015	5/10/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/25/1997	7/1/1998
Inactive	Keyport Life Insurance Company	300319	Agent - Life	6/1/1994	7/1/1998
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/3/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/3/2022
Active	Nationwide Assurance Company	300166	Agent - Casualty	8/31/2007
Active	Nationwide Assurance Company	300166	Agent - Property	2/3/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/31/2007
Active	Nationwide General Insurance Company	300603	Agent - Property	8/31/2007
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/19/2008	12/18/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/19/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/31/2007	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/31/2007	1/1/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/31/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/31/2007
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/31/2007
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/31/2007
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/23/2000	12/1/2000
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	8/18/1997	3/31/1998
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	1/17/2025
Active	SAFECO Insurance Company of America	300159	Agent - Property	1/17/2025
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/8/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/8/2022
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	1/14/1994	3/23/1998
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	8/31/2007	1/16/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	8/31/2007	1/16/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Blackburn Insurance Group Inc	749040	Agent - Life	3/1/2011
Active	Blackburn Insurance Group Inc	749040	Agent - Casualty	3/1/2011
Active	Blackburn Insurance Group Inc	749040	Agent - Property	3/1/2011