DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Tara	DOIID	1241638	NAIC NPN	18164008

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/10/2022		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
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/27/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	2/27/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/4/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/4/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/5/2022
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/5/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	11/23/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/4/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/6/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	2/21/2025
Active	Emphesys Insurance Company	300598	Agent - Health	10/31/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	5/28/2026
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/21/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/7/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/19/2024
Active	Humana Insurance Company	301104	Agent - Health	11/23/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	1/10/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/7/2022
Active	SilverScript Insurance Company	663526	Agent - Health	2/27/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/5/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023	2/13/2025