DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Keith L	DOIID	992646	NAIC NPN	8873048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/27/2018	6/30/2021
Inactive	Non Resident	Agent	Property	4/27/2018	6/30/2021
* 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	Argonaut Insurance Company	301422	Agent - Casualty	8/9/2018	5/11/2020
Inactive	Argonaut Insurance Company	301422	Agent - Property	8/9/2018	5/11/2020
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/11/2020	6/30/2021
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/11/2020	6/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Property	8/11/2020	5/13/2021
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	8/11/2020	5/13/2021