DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair Agency Inc The DBA : THE BLAIR AGENCY, INC	DOIID	552890	NAIC NPN	963093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/16/2019		3/31/2028
Active	Non Resident	Agent	Life	1/14/2019		3/31/2028
* 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
Active	Banner Life Insurance Company	301696	Agent - Life	4/29/2025
Denied	First Penn-Pacific Life Insurance Company	301581	Agent - Health
Denied	First Penn-Pacific Life Insurance Company	301581	Agent - Life
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/27/2019
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/27/2019
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blair, Michael R	553244	Agent - Health	1/16/2019	5/27/2026
Inactive	Blair, Michael R	553244	Agent - Life	1/14/2019	5/27/2026
Active	Maholchic, Rick Scott	959067	Agent - Health	5/27/2026
Active	Maholchic, Rick Scott	959067	Agent - Life	5/27/2026
Active	Smith, Timothy M	793282	Agent - Health	5/27/2026
Active	Smith, Timothy M	793282	Agent - Life	5/27/2026