DEPARTMENT OF INSURANCE
Affiliations
NameBlock, Tiana DOIID899206NAIC NPN17726207
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentIndependent AdjusterProperty & Casualty11/18/20156/30/2023 
ActiveNon ResidentStaff AdjusterCrop3/22/2024 6/30/2025
ActiveNon ResidentStaff AdjusterWorkers' Compensation3/22/2024 6/30/2025
ActiveNon ResidentStaff AdjusterProperty & Casualty3/22/2024 6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Staff Adjuster04/15/202506/30/2025   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSedgwick Claims Management Service Inc401194Independent Adjuster - Property & Casualty12/18/20156/30/2023

© Commonwealth of Kentucky. All rights reserved.