DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Roy Daniel	DOIID	314727	NAIC NPN	582382

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/23/1999	10/31/2010
Inactive	Non Resident	Agent	Health	2/23/1999	10/31/2010
* 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
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	2/23/1999	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	2/23/1999	9/8/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	10/31/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	10/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	2/15/2007	8/31/2010
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	2/15/2007	8/31/2010