DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petree, Anthanette Michelle	DOIID	1047872	NAIC NPN	19189526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2022		10/31/2024
Inactive	Non Resident	Agent	Property	7/19/2019	10/31/2020
Inactive	Non Resident	Agent	Casualty	7/19/2019	10/31/2020
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	3/20/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/27/2019	2/4/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/27/2019	2/4/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/27/2019	2/4/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/27/2019	2/4/2020
Inactive	National General Insurance Company	300152	Agent - Casualty	7/22/2019	10/4/2019
Inactive	National General Insurance Company	300152	Agent - Property	7/22/2019	10/4/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2022	12/21/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/7/2022	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	8/1/2019	10/4/2019
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	8/1/2019	10/4/2019
Inactive	CWI, LLC	662170	Agent - Casualty	8/1/2019	10/4/2019
Inactive	CWI, LLC	662170	Agent - Property	8/1/2019	10/4/2019
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	8/1/2019	10/4/2019
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	8/1/2019	10/4/2019
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	8/1/2019	10/4/2019
Inactive	National General Ins Marketing Inc	621228	Agent - Property	8/1/2019	10/4/2019