DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Kimberly A	DOIID	666467	NAIC NPN	8623422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/18/2007		2/28/2025
Active	Non Resident	Agent	Health	10/18/2007		2/28/2025
Active	Non Resident	Agent	Property	3/10/2009		2/28/2025
Active	Non Resident	Agent	Casualty	3/10/2009		2/28/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	4/7/2009
Active	ACE American Insurance Company	300625	Agent - Health	6/11/2009
Active	ACE American Insurance Company	300625	Agent - Property	4/7/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/22/2010	6/17/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/19/2007	2/19/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/19/2007	2/19/2021
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	9/9/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/5/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	12/14/2011	1/8/2013
Inactive	Union Security Insurance Company	301844	Agent - Life	12/14/2011	1/8/2013
Active	United World Life Insurance Company	300532	Agent - Health	5/13/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/9/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/9/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Quality Teleservices Management Inc	637786	Agent - Life	4/5/2012
Active	Quality Teleservices Management Inc	637786	Agent - Health	4/5/2012
Active	Quality Teleservices Management Inc	637786	Agent - Property	4/5/2012
Active	Quality Teleservices Management Inc	637786	Agent - Casualty	4/5/2012