DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rebman, Mitchell S	DOIID	1097234	NAIC NPN	19494795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/9/2020	5/31/2023
Inactive	Non Resident	Agent	Life	9/9/2020	5/31/2023
* 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	Aetna Health and Life Insurance Company	300523	Agent - Health	11/3/2020	1/25/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/20/2021	1/26/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/3/2020	1/25/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/11/2021	2/10/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2020	1/25/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	10/6/2020	1/27/2021