DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jefferson, Regina Marie	DOIID	1370637	NAIC NPN	2719233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/4/2024		3/31/2026
Active	Non Resident	Agent	Life	11/4/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/7/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Life	10/24/2025
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/24/2025