DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Stephanie Y	DOIID	844542	NAIC NPN	5773921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/2/2014		11/30/2025
Active	Non Resident	Agent	Casualty	7/2/2014		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/23/2020
Active	Fireman's Fund Insurance Company	301423	Agent - Property	10/23/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/29/2020	10/7/2024
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	10/29/2020	10/7/2024