DEPARTMENT OF INSURANCE

Name	Blackburn, Roy Kenneth	DOIID	306164	NAIC NPN	7158377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/10/1996	10/19/1998
Inactive	Resident	Agent	General Lines	8/18/1997	8/15/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	1/14/1994	3/23/1998
Pending Replacement	Resident	Agent	Property	8/28/2007		7/31/2025
Pending Replacement	Resident	Agent	Casualty	8/28/2007		7/31/2025
Pending Replacement	Resident	Agent	Life	2/19/2008		7/31/2025

*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	05/15/2025	07/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	180 Town Mountain Rd, Ste 113 Pikeville, KY 41501
Mailing	252 E Chloe Ridge Dr Pikeville, KY 41501
Residence	Not Public Information

Internet Information

Type	Address
Business Email	roy.blackburn@blackburnig.com