DEPARTMENT OF INSURANCE

Affiliations

Name	Petryk, Michael	DOIID	879321	NAIC NPN	16532464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/27/2020	3/31/2023
Inactive	Non Resident	Agent	Personal Lines	6/1/2015	3/31/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/30/2021	3/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/30/2021	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/30/2021	3/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/5/2021	3/31/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/11/2022	3/31/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/13/2021	3/31/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/1/2020	7/27/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/7/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/11/2022	3/31/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	5/17/2017	6/15/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/17/2017	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/9/2021	7/27/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/19/2020	7/27/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/30/2021	3/31/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Personal Lines	3/24/2016	4/13/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Personal Lines	3/24/2016	4/13/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/27/2020	2/7/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/27/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/27/2020	2/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeinsurance.Com, LLC	645411	Agent - Personal Lines	6/9/2015	3/15/2016
Inactive	Red Ventures Ins LLC	794656	Agent - Personal Lines	1/19/2016	3/15/2016