DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peloso, William M	DOIID	1025179	NAIC NPN	17874033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/11/2019	3/31/2021
Inactive	Non Resident	Agent	Life	1/11/2019	3/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/1/2020	3/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/1/2020	3/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/1/2020	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health