DEPARTMENT OF INSURANCE
Affiliations
NamePetersen, Justine CDOIID853578NAIC NPN17051398
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/1/2014 11/30/2025
ActiveNon ResidentAgentHealth10/1/2014 11/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/17/2014 
ActiveAetna Health Insurance Company301583Agent - Health10/17/2014 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/27/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/17/2014 
ActiveAetna Life Insurance Company301140Agent - Life10/17/2014 
InactiveAmerican Continental Insurance Company643130Agent - Life3/27/20208/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/12/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/20/2022
ActiveAnthem Insurance Companies, Inc.300941Agent - Health12/12/2023 
InactiveAnthem Life Insurance Company301209Agent - Health5/8/202012/20/2022
InactiveAnthem Life Insurance Company301209Agent - Life4/17/202012/20/2022
ActiveArcadian Health Plan, Inc.728196Agent - Health1/28/2021 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/1/20143/11/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/1/20143/11/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/2/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/17/20153/23/2016
ActiveCompcare Health Services Insurance Corporation948751Agent - Health12/12/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/27/2020 
InactiveDental Concern Inc. (The)301641Agent - Health7/17/20153/23/2016
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/17/2014 
ActiveGuardian Life Insurance Company of America301316Agent - Health12/14/2017 
ActiveGuardian Life Insurance Company of America301316Agent - Life12/14/2017 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/20/20165/9/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/17/20152/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health7/17/20156/8/2018
InactiveHumana Insurance Company301104Agent - Health7/17/20155/9/2019
InactiveHumana Insurance Company301104Agent - Life7/20/20155/9/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/17/20156/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/20/20156/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health11/18/20155/9/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/8/2018
InactiveKanawha Insurance Company300127Agent - Health7/17/201511/3/2015
InactiveKanawha Insurance Company300127Agent - Life7/17/201511/3/2015
InactiveLoyal American Life Insurance Company301172Agent - Health10/2/201512/22/2020
InactiveMedco Containment Life Insurance Company301557Agent - Health8/26/201512/17/2019
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/9/2021 
ActiveSilverScript Insurance Company663526Agent - Health10/9/2014 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/16/2020 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health6/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/16/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/16/201512/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/16/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/25/2015 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health11/17/2017 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Life4/17/2020 
ActiveDesignated Agent Company Inc.681257Agent - Health4/17/2020 
InactiveExtend Insurance Services, LLC625753Agent - Life7/13/20155/7/2019
InactiveExtend Insurance Services, LLC625753Agent - Health7/13/20155/7/2019

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