DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dan Peterson LLC	DOIID	1077413	NAIC NPN	19450181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/10/2020		3/31/2026
Active	Resident	Agent	Casualty	3/10/2020		3/31/2026
Active	Resident	Agent	Property	3/10/2020		3/31/2026
Active	Resident	Agent	Health	3/10/2020		3/31/2026
* 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
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/16/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	3/16/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	3/16/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	3/16/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	3/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Peterson, Daniel R	663392	Agent - Casualty	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Health	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Life	3/10/2020
Active	Peterson, Daniel R	663392	Agent - Property	3/10/2020