DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Elaine L	DOIID	542935	NAIC NPN	7223694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/8/2006	9/1/2019
Inactive	Resident	Agent	Health	5/11/2006	9/1/2019
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	1/12/2015	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/22/2013	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/22/2013	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/19/2012	12/10/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/20/2017	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/20/2017	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/7/2018	7/11/2019
Inactive	Humana Insurance Company	301104	Agent - Health	7/14/2006	7/11/2019
Inactive	Humana Insurance Company	301104	Agent - Life	7/14/2006	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/7/2018	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/7/2018	7/11/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/20/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/20/2017	6/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/19/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/19/2012	5/13/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/13/2009	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/13/2009	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/12/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/12/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/11/2013	10/29/2015
Inactive	Superior Dental Care Inc.	300418	Agent - Health	12/28/2009	11/27/2018
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	9/14/2016	9/1/2019
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	9/14/2016	9/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	9/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	9/1/2019
Inactive	Insuramax Inc	400061	Agent - Health	7/14/2006	4/4/2019
Inactive	Insuramax Inc	400061	Agent - Life	3/3/2008	4/4/2019