DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moss, Kirby P	DOIID	1043884	NAIC NPN	6858687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Crop	6/13/2019		5/31/2026
Active	Non Resident	Agent	Casualty	6/13/2019		5/31/2026
Active	Non Resident	Agent	Life	6/13/2019		5/31/2026
Active	Non Resident	Agent	Health	6/13/2019		5/31/2026
Active	Non Resident	Agent	Property	6/13/2019		5/31/2026
Active	Non Resident	Agent	Personal Lines	6/13/2019		5/31/2026
* 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	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/10/2023	4/1/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	6/9/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/9/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2023	4/1/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2023	4/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Casualty	10/28/2024
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Denied	Gallagher Benefit Services Inc	525782	Agent - Health
Active	Gallagher Benefit Services Inc	525782	Agent - Property	10/28/2024