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.

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	Bristol West Insurance Company	301655	Agent - Casualty	6/25/2010
Active	Bristol West Insurance Company	301655	Agent - Property	6/25/2010
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
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
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