DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Elmer Timothy	DOIID	375670	NAIC NPN	1891133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	1/31/1994	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	1/1/2023
Inactive	Resident	Agent	Health	6/12/1990	1/1/2023
Inactive	Resident	Agent	Health Maintenance Organization	9/16/1996	6/2/1999
Inactive	Resident	Agent	Life	6/12/1990	1/1/2023
Inactive	Resident	Agent	Property	8/15/2000	1/1/2023
Inactive	Resident	Independent Adjuster	Property & Casualty	2/18/1997	1/1/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXA XL Insurance Company Americas	300979	Agent - General Lines	1/31/1994	3/31/1996
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/15/2001	2/25/2002
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	12/15/2003	11/26/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	12/15/2003	11/26/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	12/15/2003	11/26/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	12/15/2003	11/26/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	11/26/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	11/26/2009
Inactive	American Benefit Life Insurance Company	301002	Agent - Health	5/11/1994	6/12/1998
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	5/11/1994	6/12/1998
Inactive	American Continental Insurance Company	643130	Agent - Health	1/17/2014	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	9/15/2015	12/15/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000	1/1/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	9/3/1999	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000	1/1/2023
Inactive	American National Insurance Company	301861	Agent - Health	7/14/1993	4/11/2010
Inactive	American National Insurance Company	301861	Agent - Life	7/14/1993	4/11/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	1/22/1991	12/28/1998
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	1/22/1991	12/28/1998
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	8/17/1993	3/31/1997
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	8/17/1993	3/31/1997
Inactive	American Select Insurance Company	301229	Agent - Property	10/31/2007	11/14/2007
Inactive	American States Life Insurance Company	301884	Agent - Health	12/7/2000	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	12/7/2000	12/6/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000	1/1/2023
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	9/3/1999	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/15/2000	1/1/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	9/16/1996	6/2/1999
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/1/1996	5/4/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/1/1996	5/4/2000
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	1/29/2001	12/13/2007
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	1/29/2001	12/13/2007
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	1/29/2001	12/13/2007
Inactive	BITCO National Insurance Company	301366	Agent - Property	1/29/2001	12/13/2007
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/15/1994	2/10/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/15/1994	2/10/2003
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	2/3/1993	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	2/3/1993	3/31/1997
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	12/31/1998
Inactive	Continental Casualty Company	301019	Agent - Health	4/12/1995	12/30/1999
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/17/2014	11/10/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	6/11/2001
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	10/28/1996	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	6/11/2001
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	5/18/2011
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	5/18/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/14/2010	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/14/2010	12/13/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/12/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	5/12/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/12/2009	8/20/2012
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	2/2/2009	7/21/2009
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	2/2/2009	7/21/2009
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/25/1994	3/31/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	8/17/1993	6/5/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	8/17/1993	6/5/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/29/1993	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/29/1993	10/31/1996
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/12/2009	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/12/2009	8/20/2012
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/9/1991	3/6/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/4/1996	2/25/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/29/1995	1/14/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	11/19/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/21/2009	12/15/2011
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	8/24/1993	2/14/2000
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	8/24/1993	2/14/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/31/2007	11/14/2007
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/26/1995	3/31/1997
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	7/20/1995	3/31/1998
Inactive	Oxford Life Insurance Company	301079	Agent - Health	9/17/2015	10/25/2016
Inactive	Oxford Life Insurance Company	301079	Agent - Life	9/17/2015	10/25/2016
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/4/1992	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/4/1992	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	4/28/1994	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	4/28/1994	3/31/1997
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/7/2015	12/7/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/7/2015	12/7/2016
Inactive	Royal Neighbors of America	301646	Agent - Life	2/26/2009	1/26/2012
Inactive	Security Life Insurance Company of America	300936	Agent - Health	6/12/1990	12/30/1998
Inactive	Security Life Insurance Company of America	300936	Agent - Life	6/12/1990	12/30/1998
Inactive	Settlers Life Insurance Company	300189	Agent - Health	3/30/1994	3/31/1997
Inactive	Settlers Life Insurance Company	300189	Agent - Life	3/30/1994	3/31/1997
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	7/18/1994	10/9/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	7/18/1994	10/9/1998
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	5/18/2011
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/4/2000	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/4/2000	12/16/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	5/18/2011
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	5/30/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	5/18/2011
Inactive	Time Insurance Company	300683	Agent - Health	4/22/2009	10/22/2012
Inactive	Time Insurance Company	300683	Agent - Life	4/22/2009	10/22/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/2/2009	7/21/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/2/2009	7/21/2009
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	5/18/2011
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	5/18/2011
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	5/18/2011
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	5/18/2011
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	5/18/2011
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	5/18/2011
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	5/18/2011
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	5/18/2011
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	5/18/2011
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	5/18/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	5/18/2011
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	5/18/2011
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	5/18/2011
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	5/18/2011
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	5/18/2011
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	5/18/2011
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/16/1993	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/16/1993	3/31/1997
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	1/31/1994	3/31/1996
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	1/31/1994	3/31/1996
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/18/2015	12/29/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/8/1994	5/22/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/8/1994	5/22/2001
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/18/2009	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/18/2009	12/15/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/12/1995	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/12/1995	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/8/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/8/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	5/14/1992	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	5/14/1992	3/31/1997
Inactive	Westfield Insurance Company	301950	Agent - Property	10/31/2007	11/14/2007
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/31/2007	11/14/2007
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/25/1995	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/25/1995	11/17/2000
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	1/1/2023
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	9/3/1999	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	1/1/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/15/2000	1/1/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	9/3/1999	8/15/2000
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/15/2000	1/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - General Lines	5/12/1997	11/19/1998
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Life	5/12/1997	11/19/1998
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Health	5/12/1997	11/19/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/20/1996	6/2/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/20/1996	6/2/1999
Inactive	Benefit Plans Of America LLC	615743	Agent - Life	12/21/2009	12/13/2012
Inactive	Benefit Plans Of America LLC	615743	Agent - Health	12/21/2009	12/13/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/17/2014	11/11/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/17/2014	11/11/2014
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	12/13/2012
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	12/13/2012
Inactive	Southern Brokers Inc.	399821	Agent - Life	8/2/1993	5/31/2003
Inactive	Southern Brokers Inc.	399821	Agent - Health	8/2/1993	5/31/2003
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - General Lines	10/22/1998	8/15/2000
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	10/22/1998	1/17/2008
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	10/22/1998	1/17/2008
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Property	8/15/2000	1/17/2008
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Casualty	8/15/2000	1/17/2008