DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Anthony	DOIID	961623	NAIC NPN	14387801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2023		4/30/2026
Inactive	Non Resident	Agent	Life	7/27/2017	4/30/2020
Active	Non Resident	Independent Adjuster	Property & Casualty	6/6/2024		4/30/2026
* 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	02/15/2026	04/30/2026
Independent Adjuster	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/5/2018	4/30/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/24/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/14/2019	4/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	11/5/2018	4/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/13/2019	4/29/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/13/2019	4/29/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/2/2018	2/28/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/19/2025	2/24/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/5/2018	4/30/2020
Inactive	Federal Insurance Company	301144	Agent - Health	9/14/2017	4/30/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/14/2019	4/30/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/11/2017	7/22/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/11/2017	7/22/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2018	2/28/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/9/2018	2/28/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/14/2019	9/26/2019
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/19/2025	2/24/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/19/2025	2/24/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	4/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	4/30/2020

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	3/13/2019	4/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/13/2019	4/30/2020
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	4/18/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	2/18/2019