DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Perry	DOIID	584930	NAIC NPN	1006727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/25/2004	8/8/2023
Inactive	Non Resident	Agent	Health	2/25/2004	8/8/2023
Inactive	Non Resident	Agent	Property	2/25/2004	8/8/2023
Inactive	Non Resident	Agent	Life	2/25/2004	8/8/2023
* 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 Security Insurance Company	300901	Agent - Casualty	2/25/2004	8/25/2006
Inactive	American Security Insurance Company	300901	Agent - Property	2/25/2004	8/25/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/28/2013	8/8/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/19/2014	8/8/2023
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/13/2010	8/8/2023
Inactive	Tesla Insurance Company	300337	Agent - Casualty	8/18/2015	8/8/2023
Inactive	Tesla Insurance Company	300337	Agent - Property	8/18/2015	8/8/2023
Inactive	Union Security Life Insurance Company	300903	Agent - Health	2/25/2004	8/25/2006
Inactive	Union Security Life Insurance Company	300903	Agent - Life	2/25/2004	8/25/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	5/16/2019	7/19/2023
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Health	5/16/2019	7/19/2023
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Life	5/16/2019	7/19/2023
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	5/16/2019	7/19/2023
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	7/13/2017	8/15/2017
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	7/13/2017	8/15/2017