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.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/12/202312/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/20/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/12/202312/16/2024
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
InactiveCompcare Health Services Insurance Corporation948751Agent - Health12/12/202312/16/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/27/2020 
InactiveDental Concern Inc. (The)301641Agent - Health7/17/20153/23/2016
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/19/2024 
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
InactiveDesignated Agent Company Inc.681257Agent - Life4/17/20202/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Health4/17/20202/11/2025
InactiveExtend Insurance Services LLC625753Agent - Life7/13/20155/7/2019
InactiveExtend Insurance Services LLC625753Agent - Health7/13/20155/7/2019

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