black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KYLE PETERSEN

PRODUCER NON-RESIDENT

License Number:
PRN238095
Status:
First Licensure:
09/10/2014
Cancel Date:
None

Mailing:
DENVER, CO 80202
Phone:
+1 (213) 341-8393
Fax:
+1 (650) 332-2304
Email:
licensing@gusto.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/10/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
RIPPLING INSURANCE SERVICES INC
07/07/2023 AGN303168
ZP INS LLC
04/17/2019 AGN255838

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
05/01/2020 LHD70566 04/08/2024
ANTHEM LIFE INSURANCE COMPANY
05/01/2020 LHF70467 04/08/2024
FIDELITY SECURITY LIFE INSURANCE COMPANY
04/01/2020 LHF972
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
03/25/2019 LHF644 04/13/2023
MAINE DENTAL SERVICE CORP
08/14/2020 NPD29330 03/30/2023
NATIONWIDE LIFE INSURANCE COMPANY
04/21/2021 LHF29
PRINCIPAL LIFE INSURANCE COMPANY
01/30/2020 LHF406
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
03/27/2020 LHF250
RED TREE INSURANCE COMPANY INC
08/20/2020 LHF174438 03/30/2023
STARMOUNT LIFE INSURANCE COMPANY
03/27/2020 LHD131525
TEACHERS INSURANCE AND ANNUITY ASSOC OF AMERICA
09/13/2014 LHF275 10/07/2015
TIAA CREF LIFE INSURANCE COMPANY
09/13/2014 LHF85444 10/07/2015
UNITEDHEALTHCARE INSURANCE COMPANY
02/06/2020 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNUM INSURANCE COMPANY
03/27/2020 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
03/27/2020 LHD145

Authority

Description Issue Date Termination Date Status
CASUALTY 06/27/2019 Active
HEALTH 09/10/2014 Active
LIFE 09/10/2014 Active
PROPERTY 06/27/2019 Active
VARIABLE CONTRACTS 09/10/2014 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17356183

Other Addresses

Address Type
DENVER, CO 80202
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/24/2025 09:14:33 AM