DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Theresa Leeann	DOIID	1228355	NAIC NPN	16231849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/7/2022		9/30/2026
Active	Non Resident	Agent	Health	9/7/2022		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	9/19/2022	12/2/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	9/19/2022	12/2/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/7/2022	6/25/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/7/2022	6/25/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2022	12/2/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/19/2022	12/2/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/19/2022	12/2/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/19/2022	12/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hylant Group, Inc.	523019	Agent - Life	9/20/2022	6/25/2025
Inactive	Hylant Group, Inc.	523019	Agent - Health	9/20/2022	6/25/2025