DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson V, Albert	DOIID	535483	NAIC NPN	7218892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/21/2004	4/30/2006
Inactive	Resident	Agent	Limited Line Credit	8/10/2001	4/30/2006
Inactive	Resident	Agent	Health	11/8/2004	4/30/2006
* 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	Balboa Life Insurance Company	301327	Agent - Limited Line Credit	8/10/2001	8/28/2003
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	11/26/2001	5/22/2003
Inactive	Merit Life Insurance Co.	300150	Agent - Health	11/8/2004	5/1/2006
Inactive	Merit Life Insurance Co.	300150	Agent - Life	6/21/2004	5/1/2006
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/29/2003	4/30/2006
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/29/2003	5/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Credit Union	535769	Agent - Limited Line Credit	8/22/2001	8/28/2003