DEPARTMENT OF INSURANCE

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.

Designated to act on behalf of the following Business Entities

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