DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peck, John Leslie	DOIID	563363	NAIC NPN	622780

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/10/2003		12/31/2025
Active	Non Resident	Agent	Life	2/10/2003		12/31/2025
* 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	10/15/2025	12/31/2025

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	2/24/2003	4/4/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/24/2003	4/4/2014
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/29/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/29/2019
Active	National Guardian Life Insurance Company	300596	Agent - Health	3/13/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/13/2008	1/14/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	9/19/2022	11/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Health	5/30/2019
Active	Acrisure LLC	696181	Agent - Life	5/30/2019
Active	Acrisure South Insurance Services LLC	1272242	Agent - Health	1/28/2025
Active	Acrisure South Insurance Services LLC	1272242	Agent - Life	1/28/2025
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/10/2014	7/9/2015
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/10/2014	7/9/2015