DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Eubank, Regina Danette	DOIID	329371	NAIC NPN	7175969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/17/1995	7/1/1998
Inactive	Resident	Agent	Health	11/17/1995	7/1/1998
* 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	Bankers United Life Assurance Company	300296	Agent - Health	1/23/1996	7/1/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	1/23/1996	7/1/1998
Inactive	Columbus Life Insurance Company	301227	Agent - Health	11/17/1995	10/24/1997
Inactive	Columbus Life Insurance Company	301227	Agent - Life	11/17/1995	10/24/1997
Inactive	Continental Casualty Company	301019	Agent - Health	3/21/1996	7/1/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	1/23/1996	12/27/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/23/1996	12/27/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Insurance Group Inc.	401305	Agent - Health	6/7/1996	7/1/1998
Inactive	First Insurance Group Inc.	401305	Agent - Life	6/7/1996	7/1/1998