DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Life	6/11/2021		3/31/2027
Active	Non Resident	Agent	Health	6/11/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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