DEPARTMENT OF INSURANCE

Affiliations

Name	Regev, Nir	DOIID	526360	NAIC NPN	898947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/21/2001	8/31/2003
Inactive	Non Resident	Agent	Life	5/21/2001	8/31/2003
Inactive	Non Resident	Agent	Health	5/21/2001	8/31/2003
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	6/25/2001	8/31/2003
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Variable Life and Variable Annuities	6/25/2001	8/31/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/25/2001	8/31/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/25/2001	8/31/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	6/25/2001	8/31/2003
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	7/3/2001	8/31/2003
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	7/3/2001	8/31/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	7/3/2001	8/31/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	7/3/2001	8/31/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/25/2001	8/31/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/25/2001	8/31/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	6/25/2001	8/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/28/2001	8/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/28/2001	8/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/28/2001	8/31/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	6/21/2001	8/31/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	6/21/2001	8/31/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	6/21/2001	8/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/21/2001	8/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/21/2001	8/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	6/21/2001	8/31/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/14/2002	8/31/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	8/14/2002	8/31/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/14/2002	8/31/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	8/14/2002	8/31/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/29/2002	8/31/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	7/29/2002	8/31/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/8/2001	8/31/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/8/2001	8/31/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	10/8/2001	8/31/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/8/2001	8/31/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/8/2001	8/31/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	10/8/2001	8/31/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/16/2001	8/31/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/16/2001	8/31/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	7/16/2001	8/31/2003
Inactive	Security Benefit Life Insurance Company	300583	Agent - Health	5/21/2001	8/31/2003
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	5/21/2001	8/31/2003
Inactive	Security Benefit Life Insurance Company	300583	Agent - Variable Life and Variable Annuities	5/21/2001	8/31/2003
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/3/2001	8/31/2003
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	7/3/2001	8/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VSR Financial Services Inc.	398329	Agent - Health	3/12/2003	8/31/2003
Inactive	VSR Financial Services Inc.	398329	Agent - Life	3/12/2003	8/31/2003
Inactive	VSR Financial Services Inc.	398329	Agent - Variable Life and Variable Annuities	3/12/2003	8/31/2003