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DEPARTMENT OF INSURANCE
Affiliations
Name
Blackburn & Ward Funeral Home Inc
DOIID
398957
NAIC NPN
7221300
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
6/20/2025
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
2/2/1998
5/19/2005
Inactive
Forethought Life Insurance Company
301407
Agent - Life
5/9/1997
5/1/2008
Inactive
Great Western Insurance Company
501693
Agent - Life
7/28/2020
7/12/2021
Inactive
Homesteaders Life Company
300836
Agent - Life
2/22/2017
5/20/2025
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
6/3/1997
1/3/2003
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
7/12/2021
3/31/2025
Inactive
Union Security Insurance Company
301844
Agent - Life
8/19/2002
9/13/2006
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Baker, Penny J
943209
Agent - Life
6/20/2025
Inactive
Miller, James Kent
312753
Agent - Life
5/9/1997
8/20/1999
Inactive
Trent, Beckie Ann
539078
Agent - Life
1/7/2004
11/30/2006
Inactive
Ward, James Steve
333523
Agent - Life
5/9/1997
2/29/2008
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