DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Rebecca Brooke	DOIID	733255	NAIC NPN	15870365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/12/2016		3/31/2025
Active	Resident	Agent	Property	2/12/2016		3/31/2025
Active	Resident	Agent	Health	2/12/2016		3/31/2025
Active	Resident	Agent	Life	2/12/2016		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	8/15/2019
Active	Bristol West Insurance Company	301655	Agent - Property	8/15/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/1/2011	7/14/2014
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/6/2020
Active	Dairyland Insurance Company	301370	Agent - Property	10/6/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/1/2011	7/14/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/1/2011	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2011	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/30/2011	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2011	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/1/2011	7/14/2014
Active	Integon Indemnity Corporation	300674	Agent - Casualty	8/7/2022
Active	Integon Indemnity Corporation	300674	Agent - Property	8/7/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/11/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	2/21/2012	7/14/2014
Inactive	Medlink Inc	400721	Agent - Health	2/21/2012	7/14/2014
Active	Seven Stars Ins Agency & Financial Services, LLC	732613	Agent - Casualty	3/11/2016
Active	Seven Stars Ins Agency & Financial Services, LLC	732613	Agent - Property	3/11/2016