black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB PETERSEN

PRODUCER NON-RESIDENT

License Number:
PRN384675
Status:
First Licensure:
06/02/2021
Cancel Date:
None

Mailing:
AUSTIN, TX 78717
Phone:
+1 (888) 407-7044
Fax:
+1 (916) 608-4696
Email:
licensing@ehealthinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/02/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
EHEALTHINSURANCE SERVICES INC
09/30/2021 AGN68778

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
10/18/2024 PCF44
AETNA HEALTH INC
09/02/2022 HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
10/15/2021 LHF374 03/05/2024
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
09/12/2024 LHF374
AMH HEALTH PLANS OF MAINE, INC.
06/08/2021 LHD353013
AMH HEALTH, LLC
06/08/2021 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
06/08/2021 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/11/2022 LHF125537
ARCADIAN HEALTH PLAN INC
11/23/2022 HMF112421 02/28/2024
ARCADIAN HEALTH PLAN INC
02/07/2025 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/25/2021 LHF214634
EMPIRE HEALTHCHOICE HMO, INC.
09/11/2022 HMF285382
HUMANA INSURANCE COMPANY
11/18/2021 LHF980 10/04/2023
HUMANA INSURANCE COMPANY
11/01/2023 LHF980
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
06/02/2021 LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY
06/02/2021 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
06/02/2021 LHF983 12/28/2021
VISION SERVICE PLAN INSURANCE COMPANY
10/31/2024 LHF47545

Authority

Description Issue Date Termination Date Status
HEALTH 06/02/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19929113

Other Addresses

Address Type
AUSTIN, TX 78717
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: 05/19/2025 01:17:23 AM