DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blank, Irwin	DOIID	735925	NAIC NPN	2016183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/31/2010	8/31/2014
Inactive	Non Resident	Agent	Casualty	8/31/2010	8/31/2014
* 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	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/6/2011	1/18/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/6/2011	1/18/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/6/2011	12/18/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/6/2011	12/18/2012