DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pettry, Regina Carole	DOIID	511410	NAIC NPN	3404820

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/10/2000	6/14/2005
Inactive	Non Resident	Agent	Life	7/10/2000	6/14/2005
* 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	Continental Casualty Company	301019	Agent - Health	8/23/2001	12/6/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	7/10/2000	12/16/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/10/2000	12/16/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	10/26/2001	8/26/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	10/26/2001	8/26/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/5/2004	6/8/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/5/2004	6/8/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/4/2000	3/10/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/4/2000	3/10/2005
Inactive	Veterans Life Insurance Company	300589	Agent - Health	12/4/2000	3/10/2005
Inactive	Veterans Life Insurance Company	300589	Agent - Life	12/4/2000	3/10/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/23/2001	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/23/2001	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	10/18/2001	5/2/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	10/18/2001	5/2/2003