DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Non Resident	Agent	Health	4/17/2017	9/30/2024
Inactive	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/1/2017	9/30/2024
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
Inactive	RiverSource Life Insurance Company	301952	Agent - Health	5/14/2020	9/30/2024
Inactive	RiverSource Life Insurance Company	301952	Agent - Life	5/14/2020	9/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Health	5/18/2020	9/30/2024
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Life	5/18/2020	9/30/2024