DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rebman, Justin	DOIID	951423	NAIC NPN	7835843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/17/2017		9/30/2024
Active	Non Resident	Agent	Life	4/17/2017		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/1/2017
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	4/21/2017	6/5/2020
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Life	4/21/2017	6/5/2020
Active	RiverSource Life Insurance Company	301952	Agent - Health	5/14/2020
Active	RiverSource Life Insurance Company	301952	Agent - Life	5/14/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameriprise Financial Services, LLC	398326	Agent - Health	5/18/2020
Active	Ameriprise Financial Services, LLC	398326	Agent - Life	5/18/2020