DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Amy Lynn	DOIID	1117397	NAIC NPN	19034826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/20/2021		4/30/2025
Active	Non Resident	Agent	Health	1/20/2021		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/17/2023	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/17/2023	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/17/2023	2/6/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	6/7/2021	4/1/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/15/2021	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/15/2021	1/6/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/12/2021	8/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/12/2021	8/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021	12/7/2023
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021	12/7/2023