DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rebstock, Michelle Dawn	DOIID	896422	NAIC NPN	17754262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/22/2015	3/31/2017
Inactive	Non Resident	Agent	Health	10/22/2015	3/31/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/29/2015	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/29/2015	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/29/2015	3/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/3/2015	4/8/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/3/2015	4/8/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/27/2016	10/3/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/29/2015	3/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/29/2015	3/31/2017