DEPARTMENT OF INSURANCE
Affiliations
NameTatum, Reginal LeeDOIID525064NAIC NPN6393446
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/11/20017/31/2007 
InactiveResidentAgentLife5/15/20017/31/2007 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/24/20027/31/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/24/20027/31/2007
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life11/29/20012/26/2004
InactiveAthene Annuity & Life Assurance Company301798Agent - Health7/8/20027/12/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Life7/8/20027/12/2006
InactiveC.M. Life Insurance Company301335Agent - Health1/21/20047/31/2007
InactiveC.M. Life Insurance Company301335Agent - Life1/21/20047/31/2007
InactiveConseco Health Insurance Company301725Agent - Health8/23/20025/28/2004
InactiveConseco Health Insurance Company301725Agent - Life8/23/20025/28/2004
InactiveDelaware Life Insurance Company301256Agent - Life11/17/20057/31/2007
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/25/20013/24/2006
InactiveFirst Colony Life Insurance Company301179Agent - Health7/22/200212/20/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life7/22/200212/20/2006
InactiveGuarantee Trust Life Insurance Company301043Agent - Health7/1/200212/20/2006
InactiveGuarantee Trust Life Insurance Company301043Agent - Life7/1/200212/20/2006
InactiveHumana Health Plan, Inc.300142Agent - Health6/24/20057/31/2007
InactiveHumana Insurance Company301104Agent - Health6/24/20057/31/2007
InactiveHumana Insurance Company301104Agent - Life6/24/20057/31/2007
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/24/20057/31/2007
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/24/20057/31/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/11/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/11/20027/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/11/20024/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/11/20024/2/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20077/31/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20077/31/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health1/21/20047/31/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life1/21/20047/31/2007
InactiveModern Woodmen of America301213Agent - Life5/15/20016/8/2001
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health4/23/20023/9/2005
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health6/11/20013/9/2005
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life6/11/20013/9/2005
InactiveReliaStar Life Insurance Company301712Agent - Life7/31/200212/4/2004
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/1/200210/1/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health7/18/20027/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life7/18/20027/18/2003
InactiveShenandoah Life Insurance Company300130Agent - Health7/25/20067/31/2007
InactiveShenandoah Life Insurance Company300130Agent - Life7/25/20065/3/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Health6/6/20026/14/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Life6/6/20026/14/2006
InactiveState Life Insurance Company301497Agent - Health10/1/20024/24/2006
InactiveState Life Insurance Company301497Agent - Life10/1/20024/24/2006
InactiveTime Insurance Company300683Agent - Health10/25/20027/31/2007
InactiveTime Insurance Company300683Agent - Life10/25/20027/31/2007
InactiveUSG Annuity & Life Company300457Agent - Life8/5/20021/1/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/200412/20/2006
InactiveWest Coast Life Insurance Company301607Agent - Health7/1/200212/20/2004
InactiveWest Coast Life Insurance Company301607Agent - Life7/1/200212/20/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssociated Benefits Ltd.398481Agent - Life1/6/20041/28/2005
InactiveAssociated Benefits Ltd.398481Agent - Health1/6/20041/28/2005

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