DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petty, Scott Anthony	DOIID	1240772	NAIC NPN	20279270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/5/2022		10/31/2027
Active	Non Resident	Agent	Health	11/5/2022		10/31/2027
* 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	08/15/2025	10/31/2025	10/31/2025	10/31/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/8/2025	6/26/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/9/2022	9/24/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/9/2022	9/24/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	9/10/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	9/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/9/2022	9/24/2025
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/9/2022	9/24/2025