DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petters, Paul	DOIID	751604	NAIC NPN	16180788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/7/2011	1/31/2014
Inactive	Non Resident	Agent	Life	4/7/2011	1/31/2014
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	5/13/2011	3/13/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	4/21/2011	1/31/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	4/21/2011	1/31/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/19/2011	6/1/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2011	3/13/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/19/2011	4/2/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	4/25/2011	12/17/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	4/25/2011	12/17/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	3/13/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/13/2011	3/13/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2011	3/13/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/13/2011	3/13/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/13/2011	3/13/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/13/2011	3/13/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2011	3/13/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2011	3/13/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/2/2011	10/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/2/2011	6/22/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/2/2011	6/22/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Life	5/9/2011	9/9/2011
Inactive	QBE First Enterprises LLC	610980	Agent - Health	5/9/2011	9/9/2011