DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Libby, Blair Robert	DOIID	1138320	NAIC NPN	8275363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	4/12/2022		12/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	6/8/2021		12/31/2025
* 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
Independent Adjuster	10/15/2025	12/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onb Benefit Administration, LLC	634663	Independent Adjuster - Property & Casualty	4/14/2022	3/12/2025
Inactive	Onb Benefit Administration, LLC	634663	Independent Adjuster - Workers' Compensation	4/14/2022	3/12/2025