DEPARTMENT OF INSURANCE

Affiliations

Name	Brumley-Rebholz, Regina Marie	DOIID	359111	NAIC NPN	1891602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/17/2001	3/31/2027
Active	Resident	Agent	Health	9/17/2001	3/31/2027
* 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	01/15/2025	03/31/2025	01/13/2025	01/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/25/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	4/25/2017	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/30/2022	10/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	5/30/2022	10/31/2024
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	12/15/2018	12/22/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/21/1998	4/10/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/21/1998	4/10/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/22/2011	12/14/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/22/2011	12/14/2012
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/22/2017	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	9/22/2017	12/27/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	6/14/2022
Inactive	Columbus Life Insurance Company	301227	Agent - Health	1/28/2010	10/2/2014
Active	Columbus Life Insurance Company	301227	Agent - Life	3/12/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/11/2015	12/13/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/25/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/11/2015	12/13/2016
Inactive	Elixir Insurance Company	696846	Agent - Health	11/13/2018	9/18/2020
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	3/11/2004	12/20/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/11/2004	12/20/2012
Active	Golden Rule Insurance Company	301943	Agent - Health	1/14/2009
Active	Golden Rule Insurance Company	301943	Agent - Life	1/14/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2011	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/16/2010	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/16/2010	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2010	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/17/2010	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/26/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/26/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2014	4/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/8/2014	4/10/2018
Active	Loyal American Life Insurance Company	301172	Agent - Health	12/2/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/9/2022
Inactive	Medico Insurance Company	301559	Agent - Health	8/7/2012	11/15/2016
Inactive	Medico Insurance Company	301559	Agent - Life	8/7/2012	11/15/2016
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	11/24/1997	4/27/1998
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	11/24/1997	4/27/1998
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/26/2008	8/15/2011
Active	National Health Insurance Company	300554	Agent - Health	6/4/2019
Active	National Health Insurance Company	300554	Agent - Life	6/4/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/25/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/25/2021
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	2/5/1999	11/8/1999
Inactive	Omaha Insurance Company	751908	Agent - Health	4/24/2012	8/8/2018
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	10/4/2016
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	10/4/2016
Inactive	Time Insurance Company	300683	Agent - Health	9/17/2001	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/17/2001	11/22/2019
Active	United World Life Insurance Company	300532	Agent - Health	3/27/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/5/2018	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/5/2018	8/1/2020
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/28/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/28/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	World Insurance Company	300396	Agent - Health	7/19/2010	12/31/2012
Inactive	World Insurance Company	300396	Agent - Life	7/19/2010	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/3/1998	4/10/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/3/1998	4/10/2000
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	12/29/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	12/29/2009