DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Holland Insurance, Inc.	DOIID	701875	NAIC NPN	8546018

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/11/2021		3/31/2025
Active	Non Resident	Agent	Life	6/11/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/21/2015	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2015	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/14/2009	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	4/13/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	4/13/2015	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/14/2009	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/14/2009	7/6/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/15/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/15/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/14/2009	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/14/2009	7/6/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Holland, Gerald A	693387	Agent - Health	6/11/2021
Active	Holland, Gerald A	693387	Agent - Life	6/11/2021
Inactive	Robinson, Bruce Charles	693389	Agent - Health	11/24/2014	3/31/2021
Inactive	Robinson, Bruce Charles	693389	Agent - Life	11/24/2014	3/31/2021