DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bland, Revis	DOIID	764345	NAIC NPN	14906667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2011	4/30/2016
Active	Non Resident	Staff Adjuster	Property & Casualty	11/15/2021		4/30/2026
* 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
Staff Adjuster	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/28/2011	3/19/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2011	3/19/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	3/19/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2011	3/19/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2011	3/19/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2011	3/19/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	3/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/19/2011	3/19/2014