DEPARTMENT OF INSURANCE
Affiliations
NamePetersen, Parke GrantDOIID685087NAIC NPN8616356
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable11/16/20113/31/2015 
InactiveNon ResidentAgentLife7/17/20083/31/2015 
InactiveNon ResidentAgentHealth7/17/20083/31/2015 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/17/20083/31/2015 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/29/200812/23/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/29/200812/23/2013
InactiveAmerican General Life Insurance Company301585Agent - Health9/12/200810/26/2010
InactiveAmerican General Life Insurance Company301585Agent - Life9/12/200810/26/2010
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities9/12/20083/23/2011
InactiveBrighthouse Life Insurance Company301829Agent - Health11/14/20143/31/2015
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20143/31/2015
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/20143/31/2015
InactiveHartford Life and Accident Insurance Company300878Agent - Health12/31/200811/16/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life12/31/200811/16/2011
InactiveJackson National Life Insurance Company300486Agent - Life1/10/20094/6/2015
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/10/20094/6/2015
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/20/20094/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/20/20094/18/2012
InactiveMetLife Investors Insurance Company301872Agent - Health8/18/200811/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life8/18/200811/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities8/18/200811/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/18/200811/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/18/200811/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/18/200811/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health8/18/20083/31/2015
InactiveMetropolitan Life Insurance Company301948Agent - Life8/18/20083/31/2015
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities8/18/20083/31/2015
InactivePacific Life Insurance Company301848Agent - Life8/27/20083/31/2015
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/27/20083/31/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/31/200811/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/31/200811/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/31/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/31/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/31/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/31/200811/16/2011
InactiveTransamerica Life Insurance Company300571Agent - Life7/7/20103/25/2015
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/7/20103/25/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJackson National Life Insurance Agency LLC400555Agent - Life1/15/20095/14/2015
InactiveJackson National Life Insurance Agency LLC400555Agent - Health1/15/20095/14/2015
InactiveJackson National Life Insurance Agency LLC400555Agent - Variable Life and Variable Annuities1/15/20095/14/2015

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