DEPARTMENT OF INSURANCE

Affiliations

Name	Mbanasor, Peter J	DOIID	1152883	NAIC NPN	20032626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/8/2021	12/31/2026
Active	Resident	Agent	Health	10/8/2021	12/31/2026
* 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	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	4/21/2025
Active	All Savers Insurance Company	301940	Agent - Life	4/21/2025
Active	American General Life Insurance Company	301585	Agent - Health	9/18/2026
Active	American General Life Insurance Company	301585	Agent - Life	9/18/2026
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	9/25/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/1/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/16/2024	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2025	4/15/2025
Active	Banner Life Insurance Company	301696	Agent - Life	9/18/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/11/2026
Active	Independent Order of Foresters	300743	Agent - Health	9/16/2026
Active	Independent Order of Foresters	300743	Agent - Life	9/16/2026
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/29/2025
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/29/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	10/3/2026
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/1/2026
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/1/2026
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	5/19/2022	12/5/2023
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	10/11/2021	12/5/2023
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	10/11/2021	12/5/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/2/2026
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/2/2026
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/8/2026
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/8/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/21/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/21/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/21/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/3/2025
Inactive	The Underwriters Group, Inc	674720	Agent - Life	5/16/2024	12/16/2024
Inactive	The Underwriters Group, Inc	674720	Agent - Health	5/16/2024	12/16/2024