DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Lydia P	DOIID	355987	NAIC NPN	5940128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/24/2009		1/31/2027
Active	Resident	Agent	Life	3/24/2009		1/31/2027
Active	Resident	Agent	Property	3/24/2009		1/31/2027
Inactive	Resident	Agent	General Lines	2/29/1988	8/15/2000
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - General Lines	7/8/1991	9/10/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	7/8/1991	9/10/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Acadia Insurance Company	557871	Agent - Casualty	8/24/2004	2/1/2009
Inactive	Acadia Insurance Company	557871	Agent - Property	8/24/2004	2/1/2009
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	8/2/2006
Inactive	American Economy Insurance Company	300315	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	8/2/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	6/8/2004	2/1/2009
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	7/31/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	7/31/2006	12/12/2007
Inactive	American Select Insurance Company	301229	Agent - Casualty	6/20/2003	2/1/2009
Inactive	American Select Insurance Company	301229	Agent - Property	6/20/2003	2/1/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	8/2/2006
Inactive	American States Insurance Company	301230	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	8/2/2006
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/4/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	12/7/1989	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/4/2004
Inactive	Assurance Company of America	300432	Agent - General Lines	12/14/1993	3/31/1996
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/29/2010	5/23/2011
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/29/2010	5/23/2011
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/12/2002	10/20/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/12/2002	10/20/2003
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	11/10/1994	9/10/1996
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/8/2013	8/28/2015
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	7/13/1988	3/31/1998
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/26/2014	12/6/2019
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	3/26/1993	3/31/1998
Inactive	Century Indemnity Company	301310	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/12/2002	10/20/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/12/2002	10/20/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	2/18/2004
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	2/18/2004
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	6/16/2003	2/1/2009
Inactive	Continental Western Insurance Company	300576	Agent - Property	6/16/2003	2/1/2009
Inactive	EMC National Life Company	300388	Agent - Life	4/24/2009	3/20/2024
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/21/2021	9/10/2025
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/21/2021	9/10/2025
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	9/10/2025
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	9/10/2025
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/24/2009	9/10/2025
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/24/2009	9/10/2025
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/29/2003	2/1/2009
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	9/10/2008	2/1/2009
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	9/10/2008	2/1/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	8/2/2006
Inactive	First National Insurance Company of America	301690	Agent - General Lines	2/15/1995	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	8/2/2006
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	8/2/2006
Inactive	General Insurance Company of America	300261	Agent - General Lines	2/15/1995	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	8/2/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/6/2004	2/1/2009
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/6/2004	2/1/2009
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/6/2004	2/1/2009
Inactive	Grange Insurance Company	300234	Agent - Property	8/6/2004	2/1/2009
Inactive	Grange Life Insurance Company	300128	Agent - Life	2/4/2007	2/1/2009
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/26/2007	2/1/2009
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/26/2007	2/1/2009
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	4/24/2009	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	9/30/1988	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	4/24/2009	12/20/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/18/2004
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/18/2004
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	12/6/1988	5/13/1996
Inactive	Insurance Company of North America	300226	Agent - General Lines	7/8/1991	9/10/1996
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/18/2009	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	8/18/2009	12/13/2011
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/14/1993	3/31/1996
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/18/2009	10/14/2025
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/18/2009	10/14/2025
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	2/18/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	2/18/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	6/20/2003	2/1/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	6/20/2003	2/1/2009
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	7/8/1991	9/10/1996
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	2/18/2004
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	2/18/2004
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	7/13/1988	3/31/1998
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/5/2004	2/1/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/1/2003	9/20/2004
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	9/27/1989	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	8/2/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	2/15/1995	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	8/2/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	8/2/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	2/15/1995	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	8/2/2006
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/15/1995	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/4/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/12/2002	10/20/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/12/2002	10/20/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/12/2002	10/20/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/12/2002	10/20/2003
Inactive	TravCo Insurance Company	301828	Agent - Casualty	4/12/2002	10/20/2003
Inactive	TravCo Insurance Company	301828	Agent - Property	4/12/2002	10/20/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	10/20/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	10/20/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/12/2002	10/20/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/12/2002	10/20/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	10/20/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	10/20/2003
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/6/2004	2/1/2009
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/6/2004	2/1/2009
Inactive	Union Insurance Company	547433	Agent - Casualty	6/16/2003	2/1/2009
Inactive	Union Insurance Company	547433	Agent - Property	6/16/2003	2/1/2009
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	9/10/2025
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	9/10/2025
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/17/2003	2/1/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/17/2003	2/1/2009
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/17/2003	2/1/2009
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/17/2003	2/1/2009
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	6/26/2009	5/16/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	6/26/2009	5/16/2022
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	6/20/2003	2/1/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	6/20/2003	2/1/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	5/4/2009	10/14/2025
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	5/4/2009	10/14/2025
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Life	4/24/2009	3/20/2024
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - General Lines	1/15/1990	8/15/2000
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Property	8/15/2000	7/2/2003
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Casualty	8/15/2000	7/2/2003
Inactive	Franklin Insurance Agency Inc.	399783	Agent - General Lines	2/29/1988	8/15/2000
Inactive	Franklin Insurance Agency Inc.	399783	Agent - Property	8/15/2000	12/27/2001
Inactive	Franklin Insurance Agency Inc.	399783	Agent - Casualty	8/15/2000	12/27/2001