DEPARTMENT OF INSURANCE

Name	Peterson, Jane Marie	DOIID	601846	NAIC NPN	7567293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/11/2022		7/31/2026
Inactive	Non Resident	Agent	Life	1/26/2005	7/31/2012
Inactive	Non Resident	Agent	Health	1/26/2005	7/31/2012

*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
Administrator	05/15/2024	07/31/2024	06/14/2024	06/14/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	4361 Irwin Simpson Road Mason, OH 45040
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(937) 609-9519