DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Andrea	DOIID	799080	NAIC NPN	15730425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/29/2013	7/31/2016
Inactive	Non Resident	Agent	Property	12/7/2012	7/31/2016
Inactive	Non Resident	Agent	Life	7/29/2013	7/31/2016
Inactive	Non Resident	Agent	Casualty	12/7/2012	7/31/2016
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/4/2013	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/4/2013	12/9/2013
Inactive	Continental American Insurance Company	301700	Agent - Health	10/28/2013	6/16/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/28/2013	6/16/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/23/2014	7/31/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/23/2014	7/31/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/25/2013	7/31/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/25/2013	7/31/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/4/2013	7/31/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/4/2013	7/31/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/4/2013	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/4/2013	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/4/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/4/2013	7/31/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/4/2013	7/31/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/4/2013	12/3/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/23/2014	7/31/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/23/2014	7/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/23/2014	7/31/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/23/2014	7/31/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/23/2014	7/31/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/23/2014	7/31/2016