DEPARTMENT OF INSURANCE
Affiliations
NameRebman, Nicholas AdamDOIID1151062NAIC NPN8295581
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities5/21/2024 2/28/2027
ActiveNon ResidentAgentLife5/21/2024 2/28/2027
InactiveNon ResidentAgentHealth8/12/20212/28/2023 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/12/20213/5/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/20213/5/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/20213/5/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/20213/5/2022
ActivePruco Life Insurance Company300954Agent - Life5/28/2024 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/28/2024 
InactivePrudential Insurance Company of America300784Agent - Health8/9/202212/21/2022
ActivePrudential Insurance Company of America300784Agent - Life5/28/2024 
ActivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities5/28/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePrudential Insurance Agency LLC620187Agent - Life6/12/2024 
InactivePrudential Insurance Agency LLC620187Agent - Health8/16/202212/21/2022
ActivePrudential Insurance Agency LLC620187Agent - Variable Life and Variable Annuities6/12/2024 

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