DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrosyan, Kristine	DOIID	1184569	NAIC NPN	8217968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/25/2022		8/31/2026
Active	Non Resident	Agent	Health	1/25/2022		8/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/1/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/1/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	2/1/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/22/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/22/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/22/2022	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	7/23/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/13/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/1/2022
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/10/2024	10/10/2024

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	3/2/2022
Inactive	Dickerson Employee Benefits, An Alera Group Agency, LLC	990986	Agent - Life	12/7/2022	4/15/2025
Active	Dickerson Employee Benefits, An Alera Group Agency, LLC	990986	Agent - Health	12/7/2022