DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petit Phar, Jerome	DOIID	1231557	NAIC NPN	18723514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/20/2022		12/31/2026
Active	Non Resident	Agent	Casualty	12/24/2024		12/31/2026
Active	Non Resident	Agent	Property	12/24/2024		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
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/13/2024	12/12/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/12/2022	3/20/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/13/2024	12/12/2024
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	12/28/2024	10/11/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	12/28/2024	10/11/2025
Inactive	Humana Insurance Company	301104	Agent - Health	3/13/2024	12/12/2024
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	12/28/2024	10/11/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	12/28/2024	10/11/2025
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	12/28/2024	10/11/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	12/28/2024	10/11/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	12/28/2024	10/11/2025
Inactive	United Services Automobile Association	300158	Agent - Property	12/28/2024	10/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Tpusa, Inc.	551795	Agent - Health
Inactive	Tpusa, Inc.	551795	Agent - Casualty	7/16/2025	10/11/2025
Inactive	Tpusa, Inc.	551795	Agent - Property	7/16/2025	10/11/2025