DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson Jr, Daniel R	DOIID	663392	NAIC NPN	9649505

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	5/10/2010		4/30/2026
Active	Resident	Agent	Casualty	5/19/2010		4/30/2026
Active	Resident	Agent	Health	4/16/2010		4/30/2026
Active	Resident	Agent	Life	4/15/2010		4/30/2026
Inactive	Resident	Rental Vehicle Agent Managing Employee	Not Applicable	10/15/2007	4/30/2010
* 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	02/15/2026	04/30/2026

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	12/8/2010	11/2/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/8/2010	11/2/2018
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/9/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/9/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/8/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/8/2017	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/25/2010	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/25/2010	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/10/2010
Active	Dairyland Insurance Company	301370	Agent - Property	6/10/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Rental Vehicle Agent Managing Employee - Not Applicable	10/15/2007	1/4/2010
Active	FB Insurance Company (The)	301763	Agent - Casualty	5/19/2010
Active	FB Insurance Company (The)	301763	Agent - Health	4/16/2010
Active	FB Insurance Company (The)	301763	Agent - Property	5/10/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/22/2010	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/22/2010	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/19/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/16/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	5/10/2010
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/16/2010
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/15/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dan Peterson LLC	1077413	Agent - Casualty	3/10/2020
Active	Dan Peterson LLC	1077413	Agent - Property	3/10/2020
Active	Dan Peterson LLC	1077413	Agent - Health	3/10/2020
Active	Dan Peterson LLC	1077413	Agent - Life	3/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/17/2025
Inactive	EAN Holdings LLC	398117	Rental Vehicle Agent Managing Employee - Not Applicable	10/15/2007	4/30/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/26/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/26/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/26/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/26/2010