DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peak Financial Corporation	DOIID	948958	NAIC NPN	13681506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/24/2017	3/31/2019
Inactive	Non Resident	Agent	Life	3/24/2017	3/31/2019
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	10/5/2017	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/5/2017	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/5/2017	3/31/2019
Inactive	American National Insurance Company	301861	Agent - Health	6/20/2017	3/31/2019
Inactive	American National Insurance Company	301861	Agent - Life	6/20/2017	3/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/5/2017	3/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/23/2017	1/23/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/23/2017	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/23/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/23/2017	1/23/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peak, Jay Justin	890060	Agent - Health	3/24/2017	3/31/2019
Inactive	Peak, Jay Justin	890060	Agent - Life	3/24/2017	3/31/2019