DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bergen, Rebecca	DOIID	1035451	NAIC NPN	13239571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/4/2019		7/31/2025
Active	Non Resident	Agent	Life	4/4/2019		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/27/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/27/2025
Active	American General Life Insurance Company	301585	Agent - Health	1/27/2025
Active	American General Life Insurance Company	301585	Agent - Life	1/27/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/27/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/10/2019	2/6/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/10/2019	2/6/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/25/2024	3/29/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/25/2024	3/29/2024
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	2/18/2025
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	2/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/10/2019	2/6/2025
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/10/2019	2/6/2025