DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dan Peterson LLC	DOIID	1077413	NAIC NPN	19450181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/10/2020		3/31/2026
Active	Resident	Agent	Casualty	3/10/2020		3/31/2026
Active	Resident	Agent	Property	3/10/2020		3/31/2026
Active	Resident	Agent	Health	3/10/2020		3/31/2026
* 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
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/16/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	3/16/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	3/16/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	3/16/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	3/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Peterson, Daniel R	663392	Agent - Casualty	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Health	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Life	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Property	3/10/2020