DEPARTMENT OF INSURANCE

Affiliations

Name	Shively, Blake Warren	DOIID	332373	NAIC NPN	511531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/5/1984		2/28/2026
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Active	Resident	Agent	Life	11/5/1984		2/28/2026
Inactive	Resident	Agent	General Lines	11/5/1984	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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/15/2004	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/15/2004	10/2/2010
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/22/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/22/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/5/2019	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/5/2019	11/14/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/4/2005	12/12/2006
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/21/2014
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/21/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/23/2012	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/23/2012	12/7/2017
Inactive	Continental General Insurance Company	300691	Agent - Health	3/28/1990	11/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	3/28/1990	11/7/2002
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	9/13/2021
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	3/15/1990	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	9/13/2021
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	8/6/1996	8/15/2000
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/14/2020	4/26/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/14/2020	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/14/2020	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/14/2020	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/28/2007	10/19/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	8/28/2007	10/19/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	5/28/1997	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	5/28/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/28/2007	10/19/2017
Inactive	General Insurance Company of America	300261	Agent - Property	8/28/2007	10/19/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/15/1990	12/2/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/15/1990	12/2/2002
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/31/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/31/2017
Active	Grange Insurance Company	300234	Agent - Casualty	10/31/2017
Active	Grange Insurance Company	300234	Agent - Property	10/31/2017
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/31/2017	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/31/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/31/2017
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	10/2/2010
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	2/16/1990	8/15/2000
Active	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000
Active	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	11/5/1984	8/15/2000
Active	GuideOne Insurance Company	301794	Agent - Property	8/15/2000
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	11/5/1984	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	11/5/1984	9/30/2003
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	2/16/1990	8/15/2000
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/21/2010	4/5/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/21/2010	4/5/2016
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/24/2014	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/24/2014	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/7/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/7/2012	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/23/2006	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/23/2006	11/7/2007
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/1994	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/1994	3/2/1999
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/17/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/17/2007	10/2/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/28/1990	8/15/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/10/1995	3/31/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/10/1995	3/31/1997
Active	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003
Active	Kansas City Life Insurance Company	301444	Agent - Life	6/11/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/23/2005	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/23/2005	7/14/2014
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/4/2019	1/24/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	2/4/2019	1/24/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/15/2010	12/15/2011
Active	National Casualty Company	301483	Agent - Health	11/25/2009
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/25/2009
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/25/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/5/2007	7/19/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/6/2022
Active	Ohio Security Insurance Company	300622	Agent - Property	6/6/2022
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	10/2/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	10/2/2010
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/27/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	9/20/1990	3/31/1998
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/27/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/24/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	11/23/1994	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/24/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/20/2000	12/4/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/20/2000	12/4/2017
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	1/28/2025
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	1/28/2025
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/30/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/30/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/30/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/30/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/23/2006	12/14/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/23/2006	12/14/2012
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/11/2014
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/11/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/6/2018	1/24/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/6/2018	1/24/2021
Active	The Phoenix Insurance Company	301502	Agent - Casualty	2/13/2018
Active	The Phoenix Insurance Company	301502	Agent - Property	2/13/2018
Inactive	Time Insurance Company	300683	Agent - Health	7/13/2004	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/13/2004	12/20/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/11/2002	12/28/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/11/2002	12/28/2004
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/24/2008	12/9/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/24/2008
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/24/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/24/2008	12/9/2013
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	1/28/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	1/28/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/31/2017
Active	Trustgard Insurance Company	300104	Agent - Property	10/31/2017
Inactive	Union Central Life Insurance Company	300307	Agent - Health	12/12/2005	8/27/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Life	12/12/2005	8/27/2012
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/23/2004	4/17/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/23/2004	4/17/2006
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/29/2007	6/22/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/29/2007	6/22/2017
Active	Western Surety Company	300283	Agent - Casualty	8/15/2000
Inactive	Western Surety Company	300283	Agent - General Lines	4/1/1997	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	8/6/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Career General Agency Inc.	399050	Agent - General Lines	11/30/1999	8/15/2000
Active	Career General Agency Inc.	399050	Agent - Life	11/30/1999
Active	Career General Agency Inc.	399050	Agent - Health	11/30/1999
Active	Career General Agency Inc.	399050	Agent - Property	8/15/2000
Active	Career General Agency Inc.	399050	Agent - Casualty	8/15/2000
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - General Lines	6/8/1994	8/15/2000
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - Property	8/15/2000	5/31/2004
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - Casualty	8/15/2000	5/31/2004
Active	Louisville Insurance, LLC	790969	Agent - Life	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Health	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Property	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Casualty	10/20/2017