DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blasek, Amaris Nicole	DOIID	960562	NAIC NPN	18450564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/17/2017		3/31/2027
Active	Non Resident	Agent	Casualty	7/17/2017		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/21/2017	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/21/2017	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/21/2017	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/21/2017	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/8/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/8/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/21/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/21/2017	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	7/21/2017	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	7/21/2017	11/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atlas Ins Agcy Inc	523813	Agent - Property	7/21/2017
Active	Atlas Ins Agcy Inc	523813	Agent - Casualty	7/21/2017