DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peters, Randal	DOIID	597105	NAIC NPN	1739856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/7/2007	6/30/2009
Inactive	Non Resident	Agent	Health	7/7/2007	6/30/2009
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/1/2005	6/30/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/1/2005	6/30/2005
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/7/2007	12/2/2008
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/7/2007	12/2/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/15/2005	6/30/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/15/2005	6/30/2005