DEPARTMENT OF INSURANCE
Affiliations
NameBlasi, Peter SimonDOIID691302NAIC NPN4621967
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/25/2009 1/31/2026
ActiveNon ResidentAgentHealth9/25/2009 1/31/2026
DeniedNon ResidentLife & Health ConsultantNot Applicable   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/21/2009 
ActiveAetna Health Insurance Company301583Agent - Health9/4/2014 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/24/2016 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/21/2009 
ActiveAetna Life Insurance Company301140Agent - Life10/21/2009 
InactiveAmerican Continental Insurance Company643130Agent - Health6/24/201311/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life6/24/201311/12/2014
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/26/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/26/20174/15/2025
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health9/18/20134/20/2018
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveConseco Health Insurance Company301725Agent - Health1/27/201010/1/2010
InactiveConseco Health Insurance Company301725Agent - Life1/27/201010/1/2010
InactiveConseco Insurance Company301202Agent - Health1/27/201010/1/2010
InactiveConseco Insurance Company301202Agent - Life1/27/201010/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/5/2021 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/16/2014 
InactiveDental Concern Inc. (The)301641Agent - Health9/18/20134/20/2018
InactiveElixir Insurance Company696846Agent - Health10/3/201910/1/2020
ActiveFirst Health Life & Health Insurance Company301735Agent - Health5/22/2012 
ActiveGerber Life Insurance Company300529Agent - Life9/20/2018 
InactiveGolden Rule Insurance Company301943Agent - Health6/22/201512/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life6/22/201512/14/2016
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health6/21/20101/17/2025
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/21/20101/17/2025
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20144/20/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/18/20132/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health9/18/20134/20/2018
InactiveHumana Insurance Company301104Agent - Health9/18/20134/20/2018
InactiveHumana Insurance Company301104Agent - Life9/18/20134/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/18/20134/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/18/20134/20/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20144/20/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20164/20/2018
InactiveIndividual Assurance Company Life Health & Accident300580Agent - Health9/25/201412/27/2016
InactiveIndividual Assurance Company Life Health & Accident300580Agent - Life9/25/201412/27/2016
InactiveKanawha Insurance Company300127Agent - Health9/18/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/18/201310/22/2015
InactiveMedico Corp Life Insurance Company301777Agent - Health3/18/20153/23/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life3/18/20153/23/2018
InactiveMedico Insurance Company301559Agent - Health3/18/201512/26/2018
InactiveMedico Insurance Company301559Agent - Life3/18/201512/26/2018
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/7/2022 
InactiveMutual of Omaha Insurance Company301012Agent - Health1/19/201012/19/2012
ActiveSilverScript Insurance Company663526Agent - Health10/31/2012 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/19/201012/19/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/19/201012/19/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health1/10/2012 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health6/22/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life6/22/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/10/201212/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/2015 
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/26/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/26/2014
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/201912/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Life10/27/2017 
ActiveDesignated Agent Company Inc.681257Agent - Health10/27/2017 
ActiveFinancial Grade721194Agent - Life1/15/2010 
ActiveFinancial Grade721194Agent - Health1/15/2010 

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