DEPARTMENT OF INSURANCE

Affiliations

Name	Petrey, Robert E	DOIID	515106	NAIC NPN	1891186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	12/9/2013	5/31/2026
Active	Resident	Agent	Life	12/10/2013	5/31/2026
Active	Resident	Agent	Property	12/9/2013	5/31/2026
Active	Resident	Agent	Health	12/10/2013	5/31/2026
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/1/2005	5/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/1/2005	5/31/2008
Active	American Economy Insurance Company	300315	Agent - Casualty	8/12/2022
Active	American Economy Insurance Company	300315	Agent - Property	8/12/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/26/2020	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/26/2020	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/15/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/15/2023
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	9/19/2005	5/31/2008
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	9/19/2005	5/31/2008
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	11/4/2005	8/16/2007
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/4/2005	8/16/2007
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/26/2005	4/17/2007
Active	Banner Life Insurance Company	301696	Agent - Life	2/28/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/3/2019	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/3/2019	12/20/2024
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/5/2007	6/19/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/5/2007	6/19/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/22/2006	5/31/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/22/2006	5/31/2008
Inactive	Economy Preferred Insurance Company	300480	Agent - Casualty	11/14/2019	12/24/2020
Inactive	Economy Preferred Insurance Company	300480	Agent - Property	11/14/2019	12/24/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/26/2019	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/26/2019	10/3/2024
Active	Encompass Insurance Company	300188	Agent - Casualty	9/4/2024
Active	Encompass Insurance Company	300188	Agent - Property	9/4/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/14/2019	12/29/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/14/2019	12/29/2021
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/14/2019
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/14/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/3/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/3/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/29/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/29/2019
Active	Grange Insurance Company	300234	Agent - Casualty	10/29/2019
Active	Grange Insurance Company	300234	Agent - Property	10/29/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/29/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/21/2005	5/31/2008
Inactive	Humana Insurance Company	301104	Agent - Health	9/21/2005	5/31/2008
Inactive	Humana Insurance Company	301104	Agent - Life	9/21/2005	5/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/21/2005	5/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/21/2005	5/31/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	4/6/2006	5/31/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/6/2006	5/31/2008
Active	Milbank Insurance Company	925185	Agent - Casualty	5/1/2020
Active	Milbank Insurance Company	925185	Agent - Property	5/1/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/14/2001	12/31/2002
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/13/2022
Active	Ohio Security Insurance Company	300622	Agent - Property	4/13/2022
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	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/8/2008	5/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	5/5/2006	5/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	5/5/2006	5/31/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/15/2019
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/15/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/12/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/12/2022
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	12/16/2013	10/3/2019
Inactive	Shelter General Insurance Company	301109	Agent - Property	12/16/2013	10/3/2019
Inactive	Shelter Life Insurance Company	300391	Agent - Health	12/16/2013	10/3/2019
Inactive	Shelter Life Insurance Company	300391	Agent - Life	12/16/2013	10/3/2019
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	12/16/2013	10/3/2019
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	12/16/2013	10/3/2019
Inactive	Time Insurance Company	300683	Agent - Health	10/1/2014	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/1/2014	11/25/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/13/2019	11/30/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/13/2019	11/30/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/13/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/13/2019	10/1/2020
Active	Trexis Insurance Corporation	599902	Agent - Casualty	10/18/2019
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	10/18/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/29/2019
Active	Trustgard Insurance Company	300104	Agent - Property	10/29/2019
Inactive	United American Insurance Company	300910	Agent - Health	5/21/2001	10/22/2001
Inactive	United American Insurance Company	300910	Agent - Life	5/21/2001	10/22/2001
Inactive	United Investors Life Insurance Company	301873	Agent - Life	3/8/2001	5/16/2001
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/14/2001	12/31/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/8/2008	5/31/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/25/2019	9/25/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/25/2019	9/25/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/25/2019	9/25/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/25/2019	9/25/2024
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
Active	Westfield Insurance Company	301950	Agent - Casualty	12/5/2019
Active	Westfield Insurance Company	301950	Agent - Property	12/5/2019
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	Daniel Boone Agency, LLC.	515760	Agent - Life	1/13/2014	10/9/2019
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	1/13/2014	10/9/2019
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	1/13/2014	10/9/2019
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	1/13/2014	10/9/2019
Active	Firefly Agency LLC	663796	Agent - Casualty	9/19/2019
Active	Firefly Agency LLC	663796	Agent - Property	9/19/2019
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Health	6/10/2002	12/31/2002