DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Jasmine Lorraine	DOIID	1057930	NAIC NPN	19297144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/26/2019		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/7/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/23/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/7/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/23/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/28/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/28/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/28/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/15/2020	1/5/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/3/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/28/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/7/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/11/2020	12/15/2020
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/4/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2019	3/19/2020
Active	SilverScript Insurance Company	663526	Agent - Health	1/23/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/9/2022	6/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/9/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/9/2022	6/3/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/23/2024	5/1/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/23/2024	5/1/2024

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 - Health	10/16/2019	11/11/2022
Active	Ensurem II LLC	908041	Agent - Health	6/14/2022
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	11/12/2019	11/12/2021