DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Colis, Peter George	DOIID	931524	NAIC NPN	17665624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/7/2019	3/28/2023
Inactive	Non Resident	Agent	Life	10/3/2016	3/28/2023
Inactive	Non Resident	Life Settlement Broker	Not Applicable	11/23/2016	11/20/2019
* 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	AAA Life Insurance Company	300287	Agent - Life	9/2/2020	2/17/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/26/2017	10/18/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/15/2019	3/28/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Life	8/4/2020	11/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ethos Technologies Inc.	934675	Agent - Life	10/26/2016	1/3/2022
Inactive	Ethos Technologies Inc.	934675	Administrator - Not Applicable	5/8/2019	3/28/2023
Inactive	HCG Vita Insurance Services LLC	1029033	Agent - Life	2/15/2019	8/7/2019
Inactive	Ovid Corp	941358	Life Settlement Broker - Not Applicable	1/6/2017	11/20/2019