DEPARTMENT OF INSURANCE

Affiliations

Name	Peters Jr, Herman O Neal	DOIID	1014755	NAIC NPN	17146916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/12/2018	4/30/2021
Inactive	Non Resident	Agent	Life	10/12/2018	4/30/2021
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	2/11/2020	4/30/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/10/2020	1/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/10/2020	1/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/10/2020	1/28/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/22/2019	2/10/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/22/2019	2/10/2021
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/7/2019	4/30/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/7/2019	4/30/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/3/2019	4/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/4/2020	4/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/4/2020	4/30/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/5/2020	4/30/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/5/2020	4/30/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/4/2020	4/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/4/2020	4/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/4/2020	4/30/2021
Inactive	United Home Life Insurance Company	300421	Agent - Life	12/20/2018	4/30/2021
Inactive	Unum Insurance Company	301499	Agent - Health	11/4/2020	4/30/2021
Inactive	Unum Insurance Company	301499	Agent - Life	11/4/2020	4/30/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	12/20/2018	4/23/2019
Denied	Optavise, LLC	671337	Agent - Health