DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Michael R	DOIID	553244	NAIC NPN	948665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/26/2002		4/30/2027
Active	Non Resident	Agent	Life	8/26/2002		4/30/2027
* 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	6/16/2021	3/6/2025
Active	American General Life Insurance Company	301585	Agent - Health	9/29/2023
Active	American General Life Insurance Company	301585	Agent - Life	9/29/2023
Active	Equitable Financial Life Insurance Company	300808	Agent - Health	11/29/2011
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	11/29/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/26/2002	11/13/2012
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/26/2002	11/13/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/10/2004	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/10/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/11/2012
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/10/2004	12/11/2006
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2013
Active	Pacific Life Insurance Company	301848	Agent - Health	11/3/2013
Active	Pacific Life Insurance Company	301848	Agent - Life	11/3/2013
Active	Principal Life Insurance Company	300129	Agent - Health	1/3/2025
Active	Principal Life Insurance Company	300129	Agent - Life	1/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blair Agency Inc The	552890	Agent - Health	1/16/2019	5/27/2026
Inactive	Blair Agency Inc The	552890	Agent - Life	1/14/2019	5/27/2026