DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Kimberly M	DOIID	364694	NAIC NPN	7197909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/20/2015	11/30/2026
Active	Resident	Agent	Life	2/20/2015	11/30/2026
Active	Resident	Agent	Casualty	2/20/2015	11/30/2026
Active	Resident	Agent	Property	2/20/2015	11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/3/2005	4/24/2006
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/3/2005	4/24/2006
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	5/20/2004	9/24/2007
Inactive	American Automobile Insurance Company	300953	Agent - Property	5/20/2004	9/24/2007
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	12/2/2013	12/1/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	12/2/2013	12/1/2014
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	10/5/2015	7/31/2020
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/5/2015	7/31/2020
Inactive	EMC National Life Company	300388	Agent - Health	4/5/2006	9/25/2012
Inactive	EMC National Life Company	300388	Agent - Life	4/5/2006	9/25/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/5/2006	9/28/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/5/2006	9/28/2012
Inactive	Encova Life Insurance Company	301818	Agent - Health	7/15/2002	12/1/2014
Inactive	Encova Life Insurance Company	301818	Agent - Life	7/15/2002	12/30/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/20/2004	9/24/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/20/2004	9/24/2007
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/23/2015	6/15/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/23/2015	6/15/2021
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/23/2015	6/15/2021
Inactive	Grange Insurance Company	300234	Agent - Property	10/23/2015	6/15/2021
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/23/2015	6/15/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/23/2015	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/23/2015	6/15/2021
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/23/2015	6/15/2021
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	4/5/2006	9/28/2012
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	4/5/2006	9/28/2012
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/19/2004	4/30/2006
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	1/19/2004	4/30/2006
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	4/1/1997	11/2/1998
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	4/1/1997	11/2/1998
Inactive	Owners Insurance Company	300796	Agent - Casualty	12/2/2013	12/1/2014
Inactive	Owners Insurance Company	300796	Agent - Property	12/2/2013	12/1/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/18/2019	9/27/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/18/2019	9/27/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/15/2019	10/26/2020
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/15/2019	10/26/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/10/2015	10/26/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/10/2015	10/26/2020
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/23/2015	6/15/2021
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/23/2015	6/15/2021
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	5/20/2004	9/24/2007
Inactive	WCF Select Insurance Company	301898	Agent - Property	5/20/2004	9/24/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grant Insurance Corporation [The]	399879	Agent - Life	1/5/2004	1/26/2007
Inactive	Grant Insurance Corporation [The]	399879	Agent - Health	1/5/2004	1/26/2007
Inactive	Grant Insurance Corporation [The]	399879	Agent - Casualty	3/11/2004	1/26/2007
Inactive	Grant Insurance Corporation [The]	399879	Agent - Property	3/11/2004	1/26/2007
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Life	12/2/2013	12/1/2014
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Health	11/27/2013	12/1/2014
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	12/2/2013	12/1/2014
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Property	12/2/2013	12/1/2014
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Life	10/5/2015	12/28/2020
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Health	10/5/2015	6/15/2021
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Casualty	9/10/2015	9/27/2021
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Property	9/10/2015	9/27/2021
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Life	11/3/1999	7/16/2004
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Health	11/3/1999	7/16/2004
Inactive	Nelson Ins Agency Inc	400059	Agent - Life	1/24/2007	10/24/2011
Inactive	Nelson Ins Agency Inc	400059	Agent - Health	1/24/2007	10/24/2011
Inactive	Nelson Ins Agency Inc	400059	Agent - Casualty	1/24/2007	10/24/2011
Inactive	Nelson Ins Agency Inc	400059	Agent - Property	1/24/2007	10/24/2011