DEPARTMENT OF INSURANCE
Affiliations
NameFackrell, Regan RileyDOIID1013160NAIC NPN8897640
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/4/2024 1/31/2027
ActiveNon ResidentAgentCasualty3/4/2024 1/31/2027
ActiveNon ResidentAgentProperty3/4/2024 1/31/2027
ActiveNon ResidentAgentLife3/4/2024 1/31/2027
InactiveNon ResidentSurplus Lines BrokerNot Applicable10/11/20188/18/2021 
* 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
Agent11/15/202601/31/2027   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAmerican Family Brokerage Inc803993Agent - Life  
DeniedAmerican Family Brokerage Inc803993Agent - Health  
DeniedAmerican Family Brokerage Inc803993Agent - Property  
DeniedAmerican Family Brokerage Inc803993Agent - Casualty  
InactiveAmerican Family Brokerage Inc803993Surplus Lines Broker - Not Applicable8/6/20198/18/2021

© Commonwealth of Kentucky. All rights reserved.