DEPARTMENT OF INSURANCE
Affiliations
NameRegions Insurance Services, Inc.DOIID609425NAIC NPN8465997
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentVariable Life and Variable Annuities   
DeniedNon ResidentAgentCrop   
InactiveNon ResidentAgentCasualty6/24/20058/27/2018 
InactiveNon ResidentAgentProperty6/24/20058/27/2018 
InactiveNon ResidentAgentLife6/24/20058/27/2018 
InactiveNon ResidentAgentHealth6/24/20058/27/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Property Casualty Company300621Agent - Casualty8/22/20168/27/2018
InactiveAIG Property Casualty Company300621Agent - Property8/22/20168/27/2018
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty5/30/20128/10/2015
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property5/30/20128/10/2015
InactiveAmerican Reliable Insurance Company301889Agent - Casualty10/10/20138/10/2015
InactiveAmerican Reliable Insurance Company301889Agent - Property10/10/20138/10/2015
InactiveAmerican Security Insurance Company300901Agent - Casualty11/9/20116/24/2013
InactiveAmerican Security Insurance Company300901Agent - Property11/9/20116/24/2013
InactiveAthene Annuity & Life Assurance Company301798Agent - Life6/19/20099/28/2012
InactiveAthene Annuity and Life Company301893Agent - Health10/1/200811/29/2008
InactiveAthene Annuity and Life Company301893Agent - Life10/1/200811/29/2008
InactiveAviva Life Insurance Company301615Agent - Health11/8/200510/1/2008
InactiveAviva Life Insurance Company301615Agent - Life11/8/200510/1/2008
InactiveCGB Insurance Company559048Agent - Casualty10/1/20158/27/2018
InactiveCGB Insurance Company559048Agent - Property10/1/20158/27/2018
InactiveEmpower Annuity Insurance Company of America300259Agent - Life8/26/200512/4/2008
InactiveFirst Colony Life Insurance Company301179Agent - Life1/13/20061/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health1/27/200612/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life1/27/200612/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveMinnesota Life Insurance Company300488Agent - Health6/8/20078/27/2018
InactiveMinnesota Life Insurance Company300488Agent - Life6/8/20078/27/2018
InactiveNAU Country Insurance Company533460Agent - Property1/30/20068/27/2018
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health12/28/20128/27/2018
InactiveStandard Guaranty Insurance Company300902Agent - Casualty5/28/20138/27/2018
InactiveStandard Guaranty Insurance Company300902Agent - Property5/28/20138/27/2018
InactiveTransamerica Life Insurance Company300571Agent - Health7/15/20095/13/2015
InactiveTransamerica Life Insurance Company300571Agent - Life2/17/20065/13/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBeard, Debra P 701367Agent - Casualty3/23/20098/27/2018
InactiveBeard, Debra P 701367Agent - Property3/23/20098/27/2018
InactiveBishop, David Lee 723520Agent - Casualty6/21/201010/31/2014
InactiveBishop, David Lee 723520Agent - Property6/21/201010/31/2014
InactiveBrown, Taylor Nicole 908548Agent - Casualty4/5/20164/6/2016
InactiveBrown, Taylor Nicole 908548Agent - Property4/5/20164/6/2016
InactiveButcher, Matthew 909636Agent - Casualty4/5/20164/6/2016
DeniedButcher, Matthew 909636Agent - Health  
InactiveButcher, Matthew 909636Agent - Property4/5/20164/6/2016
InactiveFields, Danielle R 908529Agent - Casualty4/5/20164/6/2016
InactiveFields, Danielle R 908529Agent - Property4/5/20164/6/2016
InactiveGomez, Ernest 908534Agent - Casualty4/5/20164/6/2016
InactiveGomez, Ernest 908534Agent - Property4/5/20164/6/2016
InactiveGordon, Joseph C 554569Agent - Health6/24/200512/4/2007
InactiveGordon, Joseph C 554569Agent - Life6/24/200512/4/2007
InactiveHarper, William Albert 600203Agent - Casualty6/24/20059/15/2005
InactiveHarper, William Albert 600203Agent - Property6/24/20059/15/2005
InactiveHayes, Terry Owen Miller 830333Agent - Health5/16/20168/27/2018
InactiveHayes, Terry Owen Miller 830333Agent - Life5/16/20168/27/2018
InactiveKoch, Jeffrey Brian 511151Agent - Health7/14/20054/20/2009
InactiveKoch, Jeffrey Brian 511151Agent - Life7/14/20057/31/2009
InactiveLowry, Gary T 572798Agent - Casualty6/24/20058/31/2011
InactiveLowry, Gary T 572798Agent - Health10/1/20086/21/2011
InactiveLowry, Gary T 572798Agent - Life6/24/20058/31/2011
InactiveLowry, Gary T 572798Agent - Property6/24/20058/31/2011
InactiveMcDaniel, Jessica Kathleen 602705Agent - Health7/14/20053/14/2007
InactiveMcDaniel, Jessica Kathleen 602705Agent - Life7/14/20053/14/2007
InactiveMcKinney, Katrina Don 642150Agent - Casualty6/4/20071/4/2013
InactiveMcKinney, Katrina Don 642150Agent - Property6/4/20071/4/2013
InactiveOgburn, Machelle D 580558Agent - Health7/14/20052/29/2016
InactiveOgburn, Machelle D 580558Agent - Life7/14/20052/29/2016
InactiveRawls, Katrina Raquel 605274Agent - Life7/14/20058/23/2007
InactiveRebollar, Jesus I 908553Agent - Casualty4/5/20164/6/2016
InactiveRebollar, Jesus I 908553Agent - Property4/5/20164/6/2016
DeniedSchaffer, Brian John 605216Agent - Casualty  
DeniedSchaffer, Brian John 605216Agent - Health  
InactiveSchaffer, Brian John 605216Agent - Life6/24/20059/12/2005
DeniedSchaffer, Brian John 605216Agent - Property  
DeniedSchaffer, Brian John 605216Agent - Variable Life and Variable Annuities  
DeniedTimbes, Kerry Hannon 665208Agent - Life  

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