black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAMES D. PETERSEN

PRODUCER NON-RESIDENT

License Number:
PRN220450
Status:
First Licensure:
08/23/2013
Cancel Date:
None

Mailing:
OGDEN, UT 84405
Phone:
+1 (801) 784-1141
Fax:
+1 (801) 784-1141
Email:
jpetersen@clearbenefitsgroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/23/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
PCF INSURANCE SERVICES
08/08/2022 AGN298109

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
11/15/2013 LHD70566 06/01/2014
WELLPOINT LIFE AND HEALTH INSURANCE COMPANY
09/08/2013 LHF49485 09/01/2014

Authority

Description Issue Date Termination Date Status
HEALTH 08/23/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5460282

Other Addresses

Address Type
5300 S 500 E STE 11
OGDEN, UT 84405-6966
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: 05/20/2025 12:33:19 AM