DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive 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	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	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	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