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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026
Independent Adjuster	12/15/2025	02/28/2026

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/31/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/31/2022	4/15/2025
Active	Athene Annuity and Life Company	301893	Agent - Life	11/13/2014
Active	Banner Life Insurance Company	301696	Agent - Life	1/24/2024
Active	CICA Life Insurance Company of America	600487	Agent - Life	8/7/2024
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
Active	Columbus Life Insurance Company	301227	Agent - Life	4/16/2025
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
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/21/2022	12/13/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/21/2022	12/13/2024
Active	Independent Order of Foresters	300743	Agent - Health	1/11/2024
Active	Independent Order of Foresters	300743	Agent - Life	1/11/2024
Active	Integrity Life Insurance Company	301687	Agent - Life	4/8/2025
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
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/17/2024	7/30/2025
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/1/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/1/2025
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
Active	Western and Southern Life Insurance Company	301744	Agent - Health	4/8/2025
Active	Western and Southern Life Insurance Company	301744	Agent - Life	4/8/2025
Active	Western-Southern Life Assurance Company	301590	Agent - Health	4/8/2025
Active	Western-Southern Life Assurance Company	301590	Agent - Life	4/8/2025

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