DEPARTMENT OF INSURANCE

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.

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
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	9/19/2022

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
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