DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moseley, Kama R	DOIID	1184985	NAIC NPN	17804850

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/26/2022		2/28/2025
Active	Non Resident	Agent	Travel	8/1/2023		2/28/2025
Active	Non Resident	Agent	Health	1/26/2022		2/28/2025
Active	Non Resident	Agent	Life	1/26/2022		2/28/2025
Active	Non Resident	Agent	Property	1/26/2022		2/28/2025
* 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
Active	Crestbrook Insurance Company	805354	Agent - Casualty	7/28/2022
Active	Crestbrook Insurance Company	805354	Agent - Property	7/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	7/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lockton Specialties LLC	1001746	Agent - Casualty	7/28/2022
Denied	Lockton Specialties LLC	1001746	Agent - Life
Denied	Lockton Specialties LLC	1001746	Agent - Health
Active	Lockton Specialties LLC	1001746	Agent - Property	7/28/2022