DEPARTMENT OF INSURANCE
Affiliations
NameBlackburn & Ward Funeral Home IncDOIID398957NAIC NPN7221300
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/20/2025 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/2/19985/19/2005
InactiveForethought Life Insurance Company301407Agent - Life5/9/19975/1/2008
InactiveGreat Western Insurance Company501693Agent - Life7/28/20207/12/2021
InactiveHomesteaders Life Company300836Agent - Life2/22/20175/20/2025
InactiveReassure America Life Insurance Company301902Agent - Life6/3/19971/3/2003
InactiveSouthern Financial Life Insurance Company300664Agent - Life7/12/20213/31/2025
InactiveUnion Security Insurance Company301844Agent - Life8/19/20029/13/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaker, Penny J 943209Agent - Life6/20/2025 
InactiveMiller, James Kent 312753Agent - Life5/9/19978/20/1999
InactiveTrent, Beckie Ann 539078Agent - Life1/7/200411/30/2006
InactiveWard, James Steve 333523Agent - Life5/9/19972/29/2008

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