DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Tyler	DOIID	1325321	NAIC NPN	19371855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/21/2024	2/29/2028
Active	Non Resident	Agent	Health	2/21/2024	2/29/2028
* 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	12/15/2025	02/28/2026	12/04/2025	12/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/9/2025
Active	Accendo Insurance Company	300312	Agent - Life	3/27/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/24/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/27/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/24/2024
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/25/2025
Active	American General Life Insurance Company	301585	Agent - Health	3/20/2025
Active	American General Life Insurance Company	301585	Agent - Life	3/20/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/25/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/25/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/17/2025
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	3/11/2025	12/18/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/25/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/27/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/27/2025
Active	Gerber Life Insurance Company	300529	Agent - Health	7/22/2025
Active	Gerber Life Insurance Company	300529	Agent - Life	7/22/2025
Active	Heartland National Life Insurance Company	948749	Agent - Health	9/29/2025
Active	Insurance Company of North America	300226	Agent - Health	9/23/2025
Active	Medico Insurance Company	301559	Agent - Health	9/5/2025
Active	Medico Insurance Company	301559	Agent - Life	9/5/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/10/2025
Active	SilverScript Insurance Company	663526	Agent - Health	2/24/2024
Active	Tier One Insurance Company	301056	Agent - Health	2/4/2025
Active	Tier One Insurance Company	301056	Agent - Life	2/4/2025
Active	United Home Life Insurance Company	300421	Agent - Life	1/27/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	New Horizons Insurance Marketing, LLC	636965	Agent - Life	2/23/2026
Active	New Horizons Insurance Marketing, LLC	636965	Agent - Health	2/23/2026