DEPARTMENT OF INSURANCE
Affiliations
NamePetersen, Kyle DOIID851257NAIC NPN17356183
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/15/2023 9/30/2025
ActiveNon ResidentAgentCasualty2/22/2024 9/30/2025
ActiveNon ResidentAgentProperty2/22/2024 9/30/2025
ActiveNon ResidentAgentHealth6/15/2023 9/30/2025
InactiveNon ResidentAgentVariable Life and Variable Annuities9/9/20141/10/2022 
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health5/7/20201/10/2022
InactiveAnthem Life Insurance Company301209Agent - Life5/7/20201/10/2022
InactiveDental Concern Inc. (The)301641Agent - Health8/12/202012/15/2020
InactiveFidelity Security Life Insurance Company300466Agent - Health4/1/20201/10/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life4/1/20201/10/2022
InactiveGuardian Life Insurance Company of America301316Agent - Health4/17/20191/10/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life4/17/20191/10/2022
InactiveHumana Health Plan, Inc.300142Agent - Health8/12/202011/12/2021
InactiveHumana Insurance Company301104Agent - Health9/21/202011/12/2021
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/13/202111/12/2021
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/13/202111/12/2021
InactiveNationwide Life Insurance Company300495Agent - Health4/19/20211/10/2022
InactiveNationwide Life Insurance Company300495Agent - Life4/19/20211/10/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/27/20201/10/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/27/20201/10/2022
InactiveStarmount Life Insurance Company628031Agent - Health3/27/20201/10/2022
InactiveTIAA-CREF Life Insurance Company556577Agent - Health9/13/201410/7/2015
InactiveTIAA-CREF Life Insurance Company556577Agent - Life9/13/201410/7/2015
InactiveTIAA-CREF Life Insurance Company556577Agent - Variable Life and Variable Annuities9/13/201410/7/2015
InactiveTeachers Insurance and Annuity Association of America301596Agent - Health9/13/201410/7/2015
InactiveTeachers Insurance and Annuity Association of America301596Agent - Life9/13/201410/7/2015
InactiveTeachers Insurance and Annuity Association of America301596Agent - Variable Life and Variable Annuities9/13/201410/7/2015
InactiveUNUM Life Insurance Company of America300817Agent - Health3/27/20201/10/2022
InactiveUNUM Life Insurance Company of America300817Agent - Life3/27/20201/10/2022
InactiveUnum Insurance Company301499Agent - Health3/27/20201/10/2022
InactiveUnum Insurance Company301499Agent - Life3/27/20201/10/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health5/7/20201/10/2022
InactiveDesignated Agent Company Inc.681257Agent - Life5/7/20201/10/2022
DeniedRippling Insurance Services, Inc.1016257Agent - Health  
DeniedRippling Insurance Services, Inc.1016257Agent - Life  
DeniedRippling Insurance Services, Inc.1016257Agent - Casualty  
DeniedRippling Insurance Services, Inc.1016257Agent - Property  
InactiveWith Gusto Insurance Service LLC889916Agent - Health4/17/20191/10/2022
InactiveWith Gusto Insurance Service LLC889916Agent - Life4/17/20191/10/2022

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