DEPARTMENT OF INSURANCE

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/13/2024	06/13/2024	Yes

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
Active	Anthem Life Insurance Company	301209	Agent - Health	3/22/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	3/22/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/13/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/1/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/10/2024

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
Active	Dickerson Employee Benefits, An Alera Group Agency, LLC	990986	Agent - Life	12/7/2022
Active	Dickerson Employee Benefits, An Alera Group Agency, LLC	990986	Agent - Health	12/7/2022