DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Bethany Ross	DOIID	907825	NAIC NPN	1597883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/25/2016		1/31/2025
Active	Non Resident	Agent	Health	2/25/2016		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	3/10/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020
Active	Arch Insurance Company	300688	Agent - Health	3/28/2016
Active	Standard Insurance Company	300185	Agent - Health	4/10/2017
Active	Standard Insurance Company	300185	Agent - Life	4/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	3/10/2020
Active	Designated Agent Company Inc.	681257	Agent - Life	3/10/2020
Inactive	Willis Of Colorado Inc	696514	Agent - Health	4/5/2016	4/3/2020
Inactive	Willis Of Colorado Inc	696514	Agent - Life	4/5/2016	4/3/2020
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Health	1/30/2020	8/14/2023
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Life	1/30/2020	8/14/2023