DEPARTMENT OF INSURANCE

Affiliations

Name	Blair III, Rolland Winston	DOIID	668734	NAIC NPN	9916131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	2/20/2013	8/31/2024
Active	Resident	Agent	Life	10/14/2010	8/31/2024
Active	Resident	Agent	Health	10/14/2010	8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/15/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/15/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/15/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	7/28/2014	5/23/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	7/28/2014	5/23/2016
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	7/28/2014	5/23/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/9/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2020
Active	Bankers Life and Casualty Company	300701	Agent - Health	10/14/2010
Active	Bankers Life and Casualty Company	300701	Agent - Life	10/14/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/4/2013	5/3/2016
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	11/14/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/27/2022
Active	Colonial Penn Life Insurance Company	300491	Agent - Health	10/14/2010
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	10/14/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/20/2015	6/15/2018
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2022
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	10/27/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2020	12/13/2022
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/10/2013	12/29/2016
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	7/10/2013	5/16/2019
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/27/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/12/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2020	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/1/2010	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	11/1/2010
Active	Humana Insurance Company	301104	Agent - Life	11/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/16/2015	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/16/2015	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/12/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2020	12/13/2022
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/9/2022	5/16/2024
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	12/9/2022	5/16/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/11/2020	6/23/2022
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/11/2020	6/23/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/20/2015	10/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/20/2015	10/14/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/26/2017	10/25/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	1/26/2017	10/25/2019
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/28/2013	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	2/28/2013	11/14/2014
Inactive	Pacific Life Insurance Company	301848	Agent - Health	2/20/2013	2/27/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Life	2/20/2013	2/27/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	2/20/2013	2/27/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/22/2020	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/22/2020	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	7/22/2020	11/23/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	2/9/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/15/2021
Inactive	Time Insurance Company	300683	Agent - Health	7/9/2010	9/1/2010
Inactive	Time Insurance Company	300683	Agent - Life	7/9/2010	9/1/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/14/2021
Active	Washington National Insurance Company	300587	Agent - Health	4/28/2022
Active	Washington National Insurance Company	300587	Agent - Life	4/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Concourse Financial Group Securities, Inc.	554596	Agent - Variable Life and Variable Annuities	2/28/2013	6/23/2016