DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Head, Regina	DOIID	1355835	NAIC NPN	18194105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2024		10/31/2026
Active	Non Resident	Agent	Life	8/14/2024		10/31/2026
* 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
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/17/2025	5/7/2026
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/17/2025	5/7/2026
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/11/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/11/2024
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	10/11/2024