DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Frances	DOIID	598088	NAIC NPN	8293793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/5/2009	8/3/2010
Inactive	Non Resident	Agent	Casualty	2/12/2013	8/31/2016
Inactive	Non Resident	Agent	Property	2/12/2013	8/31/2016
Inactive	Non Resident	Agent	Life	2/5/2009	8/3/2010
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	6/12/2008	3/19/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	6/12/2008	3/19/2009
Inactive	American Security Insurance Company	300901	Agent - Casualty	6/12/2008	3/19/2009
Inactive	American Security Insurance Company	300901	Agent - Property	6/12/2008	3/19/2009
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/22/2006	10/17/2006
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/22/2006	10/17/2006
Inactive	Assurance Company of America	300432	Agent - Casualty	5/22/2006	10/17/2006
Inactive	Assurance Company of America	300432	Agent - Property	5/22/2006	10/17/2006
Inactive	Centre Insurance Company	301599	Agent - Casualty	4/20/2005	12/8/2005
Inactive	Centre Insurance Company	301599	Agent - Property	4/20/2005	12/8/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/19/2005	9/26/2006
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/19/2005	9/26/2006
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/21/2004	10/17/2006
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/21/2004	10/17/2006
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/22/2006	10/17/2006
Inactive	Maryland Casualty Company	301719	Agent - Property	5/22/2006	10/17/2006
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/18/2009	8/3/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/22/2006	10/17/2006
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/22/2006	10/17/2006
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	2/27/2013	6/1/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	2/27/2013	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/27/2013	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/27/2013	6/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	4/10/2013	6/2/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	4/10/2013	6/2/2015
Inactive	QBE First Enterprises LLC	610980	Agent - Property	6/12/2008	3/19/2009
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	6/12/2008	3/19/2009
Denied	QBE First Enterprises LLC	610980	Agent - Life
Inactive	QBE First Enterprises LLC	610980	Agent - Health	2/22/2010	8/3/2010
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Property	6/12/2008	3/19/2009
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Casualty	6/12/2008	3/19/2009