DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Mary Ann	DOIID	981524	NAIC NPN	16415875

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/12/2018		2/28/2027
Active	Non Resident	Agent	Property	1/12/2018		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	11/6/2019
Active	ACE American Insurance Company	300625	Agent - Property	11/6/2019
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/15/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/15/2020
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	11/6/2019
Active	Bankers Standard Insurance Company	301620	Agent - Property	11/6/2019
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	11/6/2019
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	11/6/2019
Active	Chubb National Insurance Company	301392	Agent - Casualty	11/6/2019
Active	Chubb National Insurance Company	301392	Agent - Property	11/6/2019
Active	Federal Insurance Company	301144	Agent - Casualty	11/6/2019
Active	Federal Insurance Company	301144	Agent - Property	11/6/2019
Active	Great Northern Insurance Company	301107	Agent - Casualty	11/6/2019
Active	Great Northern Insurance Company	301107	Agent - Property	11/6/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	5/1/2020
Active	Pacific Indemnity Company	301610	Agent - Casualty	11/6/2019
Active	Pacific Indemnity Company	301610	Agent - Property	11/6/2019
Active	Vigilant Insurance Company	301143	Agent - Casualty	11/6/2019
Active	Vigilant Insurance Company	301143	Agent - Property	11/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty