DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Peltzman, Carl J	DOIID	1337079	NAIC NPN	2002229

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/25/2024		2/28/2026
Active	Non Resident	Agent	Life	4/25/2024		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/30/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	GoldenCare USA, LLC	398142	Agent - Life
Active	GoldenCare USA, LLC	398142	Agent - Health	5/9/2024
Denied	National Independent Brokers, LLC	502029	Agent - Life
Active	National Independent Brokers, LLC	502029	Agent - Health	5/9/2024