DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borchardt, Peter Joel	DOIID	522350	NAIC NPN	2200479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/28/2001	8/31/2019
Inactive	Non Resident	Agent	Life	6/5/2001	8/31/2019
* 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	American Heritage Life Insurance Company	300272	Agent - Health	2/28/2001	2/7/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/10/2002	1/6/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	6/5/2001	3/27/2014
Inactive	Union Security Insurance Company	301844	Agent - Life	6/5/2001	3/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/13/2002	1/8/2014