DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bazemore, Rebecca A	DOIID	760037	NAIC NPN	16115919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/4/2011		6/30/2025
Pending Replacement	Non Resident	Agent	Life	8/4/2011		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/11/2011	7/24/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/11/2011	7/24/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024	5/28/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	12/14/2021	7/12/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	8/17/2022	7/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	11/4/2016	5/28/2025
Inactive	Sutherland Global Services Inc	601788	Agent - Health	11/4/2016	7/24/2024