DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Shirley D	DOIID	523574	NAIC NPN	1638010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/5/2023		7/31/2026
Active	Non Resident	Agent	Life	9/5/2023		7/31/2026
Inactive	Non Resident	Agent	Casualty	2/25/2013	7/31/2014
Inactive	Non Resident	Agent	Property	2/25/2013	7/31/2014
* 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	Accendo Insurance Company	300312	Agent - Health	9/23/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/23/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/13/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/23/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/13/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/13/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/23/2001	4/1/2002
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/23/2001	4/1/2002
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/23/2001	4/1/2002
Inactive	Allstate Insurance Company	300773	Agent - Property	3/23/2001	4/1/2002
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/10/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/10/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/10/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/5/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/10/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/23/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/23/2023
Inactive	Esurance Insurance Company	301072	Agent - Casualty	3/1/2013	7/30/2013
Inactive	Esurance Insurance Company	301072	Agent - Property	3/1/2013	7/30/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/2/2013	7/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2013	7/31/2014
Active	Humana Insurance Company	301104	Agent - Health	11/20/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/2/2013	7/31/2014
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/6/2023
Inactive	National Health Insurance Company	300554	Agent - Health	11/7/2023	11/28/2023
Active	National Health Insurance Company	300554	Agent - Life	11/7/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/22/2013	8/5/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/22/2013	8/5/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/22/2013	8/5/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/22/2013	8/5/2013
Active	SilverScript Insurance Company	663526	Agent - Health	9/13/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/5/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/28/2011	3/14/2013
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Healthcompare Ins Services Inc	708319	Agent - Health	9/14/2023
Active	Healthcompare Ins Services Inc	708319	Agent - Life	9/23/2023
Inactive	TZ Insurance Solutions LLC	727470	Agent - Property	3/1/2013	8/5/2013
Inactive	TZ Insurance Solutions LLC	727470	Agent - Casualty	3/1/2013	8/5/2013