DEPARTMENT OF INSURANCE

Affiliations

Name	Peter, Justin S	DOIID	700588	NAIC NPN	3240063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/26/2009	1/31/2025
Active	Non Resident	Agent	Life	2/26/2009	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Heritage Life Insurance Company	300272	Agent - Health	8/5/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	8/5/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/31/2021	7/11/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/31/2021	7/11/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/9/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/9/2013	12/8/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/31/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/9/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/9/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/9/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	4/25/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	4/25/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/7/2009	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/7/2009	10/8/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/26/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/26/2023
Active	Trustmark Insurance Company	300317	Agent - Health	10/27/2012
Active	Trustmark Insurance Company	300317	Agent - Life	10/27/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/7/2009	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/7/2009	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	4mybenefits Inc	1305651	Agent - Life	10/18/2023
Active	4mybenefits Inc	1305651	Agent - Health	10/18/2023
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/25/2023