DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn Insurance Group Inc	DOIID	749040	NAIC NPN	16161546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	3/1/2011	3/31/2027
Active	Resident	Agent	Property	3/1/2011	3/31/2027
Active	Resident	Agent	Casualty	3/1/2011	3/31/2027
Active	Resident	Agent	Health	3/1/2011	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	Aegis Security Insurance Company	300492	Agent - Casualty	4/26/2017	11/9/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/26/2017	11/9/2022
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	6/7/2018
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	6/7/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/2/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/2/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/13/2012	2/7/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/13/2012	2/7/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/24/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/24/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/25/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/25/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/1/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/1/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/17/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/17/2016	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	9/11/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	9/11/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/1/2013
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/14/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2013	4/15/2025
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	7/29/2019	12/15/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/14/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/14/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	9/14/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/14/2020
Active	Principal Life Insurance Company	300129	Agent - Health	8/27/2018
Active	Principal Life Insurance Company	300129	Agent - Life	8/27/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/2/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/2/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/25/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/25/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/10/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/10/2020	3/29/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/29/2019	11/6/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	7/29/2019	11/6/2024
Active	Standard Insurance Company	300185	Agent - Health	5/4/2017
Active	Standard Insurance Company	300185	Agent - Life	5/4/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/29/2019	12/15/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/29/2019	12/15/2020
Inactive	TravCo Insurance Company	301828	Agent - Casualty	7/29/2019	12/15/2020
Inactive	TravCo Insurance Company	301828	Agent - Property	7/29/2019	12/15/2020
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	7/29/2019	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/29/2019	12/15/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	2/2/2021	11/6/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	2/2/2021	11/6/2024
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	7/29/2019	12/15/2020
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	7/29/2019	12/15/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	6/19/2020
Active	United Financial Casualty Company	301886	Agent - Property	6/19/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Blackburn, Athea Jean	388058	Agent - Casualty	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Health	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Life	3/1/2011
Active	Blackburn, Athea Jean	388058	Agent - Property	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Casualty	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Life	3/1/2011
Active	Blackburn, Roy Kenneth	306164	Agent - Property	3/1/2011
Denied	Burchett, Jack Oakley	336930	Agent - Casualty
Denied	Burchett, Jack Oakley	336930	Agent - Property
Active	Thomas, Whitney	778657	Agent - Casualty	7/6/2022
Active	Thomas, Whitney	778657	Agent - Property	7/6/2022