DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Rebecca Anne	DOIID	720665	NAIC NPN	9675845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/19/2010	11/30/2023
Inactive	Non Resident	Agent	Life	2/19/2010	11/30/2023
Inactive	Non Resident	Agent	Casualty	2/19/2010	11/30/2023
Inactive	Non Resident	Agent	Property	2/19/2010	11/30/2023
* 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	Forethought Life Insurance Company	301407	Agent - Health	10/15/2012	11/30/2023
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/15/2012	11/30/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/22/2010	11/12/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/22/2010	11/12/2012
Inactive	Integrity Life Insurance Company	301687	Agent - Life	10/11/2022	11/30/2023
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	7/17/2012	10/10/2019
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/20/2013	11/30/2023
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Nationwide General Insurance Company	300603	Agent - Property	2/26/2010	4/6/2012
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	4/6/2012
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	4/6/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/26/2010	4/6/2012
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/26/2010	4/6/2012
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	2/26/2010	4/6/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/26/2010	4/6/2012
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/26/2010	4/6/2012
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/11/2012	12/1/2016
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	12/1/2013	11/30/2023
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	9/17/2022	11/30/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Health	9/18/2013	11/19/2018
Inactive	Symetra Life Insurance Company	301691	Agent - Life	9/18/2013	11/19/2018
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	3/23/2011	2/7/2013
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	4/28/2011	2/7/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/24/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/24/2012	6/24/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/26/2010	4/6/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/26/2010	4/6/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/11/2022	11/30/2023
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/11/2022	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	4/12/2011	4/6/2012
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	4/12/2011	2/7/2013