DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kornblatt, Marshall I	DOIID	757941	NAIC NPN	2863023

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/8/2011	4/16/2019
Inactive	Non Resident	Agent	Life	7/8/2011	4/16/2019
Inactive	Non Resident	Agent	Property	7/8/2011	4/16/2019
Inactive	Non Resident	Agent	Health	7/8/2011	4/16/2019
* 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	AmGUARD Insurance Company	500010	Agent - Casualty	6/21/2017	4/16/2019
Inactive	AmGUARD Insurance Company	500010	Agent - Property	6/24/2017	4/16/2019
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	6/21/2017	4/16/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	V3 Insurance Agency Inc.	758461	Agent - Life	7/18/2011	4/16/2019
Inactive	V3 Insurance Agency Inc.	758461	Agent - Health	7/18/2011	4/16/2019
Inactive	V3 Insurance Agency Inc.	758461	Agent - Property	7/18/2011	4/16/2019
Inactive	V3 Insurance Agency Inc.	758461	Agent - Casualty	7/18/2011	4/16/2019