DEPARTMENT OF INSURANCE
Affiliations
NamePetkevich, Daniel DOIID976001NAIC NPN18594245
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/21/2021 4/30/2026
ActiveNon ResidentAgentLife1/21/2021 4/30/2026
InactiveNon ResidentAgentCasualty11/8/20174/30/2020 
InactiveNon ResidentAgentProperty11/8/20174/30/2020 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life3/24/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health1/27/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/24/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health1/27/2021 
ActiveAetna Life Insurance Company301140Agent - Health1/27/2021 
InactiveAmerican Continental Insurance Company643130Agent - Life3/24/20218/11/2021
ActiveAmeritas Life Insurance Corporation300126Agent - Health2/22/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/26/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
InactiveArcadian Health Plan, Inc.728196Agent - Health1/3/202212/12/2024
InactiveCapitol Life Insurance Company301514Agent - Health8/10/20216/21/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
InactiveCompBenefits Insurance Company301864Agent - Health10/18/202112/12/2024
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/24/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/24/2021 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/19/2024 
InactiveFederal Life Insurance Company300945Agent - Health3/18/20226/22/2023
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/9/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/31/202212/12/2024
ActiveHumana Insurance Company301104Agent - Health12/3/2021 
InactiveHumana Medical Plan, Inc.801568Agent - Health11/16/202112/12/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/28/2025 
ActiveSilverScript Insurance Company663526Agent - Health1/27/2021 
ActiveTier One Insurance Company301056Agent - Health5/30/2023 
ActiveTier One Insurance Company301056Agent - Life5/30/2023 
InactiveUnited States Fire Insurance Company582240Agent - Health8/13/20217/12/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/11/2021 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/11/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/11/202112/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/11/2021 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health1/7/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTrim Ins Solutions LLC978671Agent - Property12/7/20173/31/2019
InactiveTrim Ins Solutions LLC978671Agent - Casualty12/7/20173/31/2019
ActiveVirgil Insurance Agency LLC1119520Agent - Life2/4/2021 
ActiveVirgil Insurance Agency LLC1119520Agent - Health2/4/2021 

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