DEPARTMENT OF INSURANCE

Affiliations

Name	Petkevich, Daniel	DOIID	976001	NAIC NPN	18594245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/21/2021		4/30/2026
Active	Non Resident	Agent	Life	1/21/2021		4/30/2026
Inactive	Non Resident	Agent	Casualty	11/8/2017	4/30/2020
Inactive	Non Resident	Agent	Property	11/8/2017	4/30/2020
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/24/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/27/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/24/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/27/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/27/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	3/24/2021	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/22/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/3/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/10/2021	6/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	10/18/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/24/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/24/2021
Inactive	Federal Life Insurance Company	300945	Agent - Health	3/18/2022	6/22/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/9/2021	12/13/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/31/2022
Active	Humana Insurance Company	301104	Agent - Health	12/3/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/16/2021
Active	SilverScript Insurance Company	663526	Agent - Health	1/27/2021
Active	Tier One Insurance Company	301056	Agent - Health	5/30/2023
Active	Tier One Insurance Company	301056	Agent - Life	5/30/2023
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/13/2021	7/12/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/11/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/11/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/11/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/11/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trim Ins Solutions LLC	978671	Agent - Property	12/7/2017	3/31/2019
Inactive	Trim Ins Solutions LLC	978671	Agent - Casualty	12/7/2017	3/31/2019
Active	Virgil Insurance Agency LLC	1119520	Agent - Life	2/4/2021
Active	Virgil Insurance Agency LLC	1119520	Agent - Health	2/4/2021