DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Mary Ann	DOIID	521471	NAIC NPN	7216402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	11/5/2013	2/28/2026
Active	Resident	Agent	Life	11/19/2013	2/28/2026
Active	Resident	Agent	Health	11/19/2013	2/28/2026
Active	Resident	Agent	Casualty	11/5/2013	2/28/2026
Active	Resident	Independent Adjuster	Property & Casualty	1/24/2022	2/28/2026
* 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	American General Life Insurance Company	301585	Agent - Health	1/14/2024
Active	American General Life Insurance Company	301585	Agent - Life	1/14/2024
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	3/13/2001	6/2/2003
Active	American National Insurance Company	301861	Agent - Life	6/22/2022
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	1/17/2024
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/17/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/31/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	8/31/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	8/31/2022
Active	Athene Annuity and Life Company	301893	Agent - Life	11/13/2014
Active	Banner Life Insurance Company	301696	Agent - Life	1/24/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/3/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/2/2013	2/14/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/2/2013	2/14/2015
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/2/2018	11/23/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/1/2023
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/9/2024
Active	Gerber Life Insurance Company	300529	Agent - Health	10/2/2020
Active	Gerber Life Insurance Company	300529	Agent - Life	10/2/2020
Active	Golden Rule Insurance Company	301943	Agent - Health	9/21/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	9/21/2022
Active	Independent Order of Foresters	300743	Agent - Health	1/11/2024
Active	Independent Order of Foresters	300743	Agent - Life	1/11/2024
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	2/18/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/30/2019	10/27/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/30/2019	10/27/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/10/2020	11/1/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/8/2020	11/23/2022
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/3/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/11/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/11/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/8/2022
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/8/2022
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/13/2021
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/5/2023	1/30/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/5/2023	1/30/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/20/2019	11/25/2020
Active	Royal Neighbors of America	301646	Agent - Life	5/8/2024
Active	Security Benefit Life Insurance Company	300583	Agent - Life	2/25/2024
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/17/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	4/1/2014
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/1/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/1/2014	10/1/2020
Active	United Home Life Insurance Company	300421	Agent - Life	1/10/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/18/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Neuman Equine Ins LLC	657776	Agent - Casualty		3/31/2014
Inactive	Neuman Equine Ins LLC	657776	Agent - Property		3/31/2014