DEPARTMENT OF INSURANCE

Affiliations

Name	Moorman, Kevin Lee	DOIID	318711	NAIC NPN	1490161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	7/31/2001		1/31/2026
Active	Non Resident	Agent	Casualty	8/15/2000		1/31/2026
Active	Non Resident	Agent	Health	11/7/1995		1/31/2026
Active	Non Resident	Agent	Life	11/7/1995		1/31/2026
Active	Non Resident	Agent	Property	8/15/2000		1/31/2026
Inactive	Non Resident	Agent	General Lines	11/7/1995	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AF&L Insurance Company	301582	Agent - Health	2/4/2002	12/1/2006
Active	American Economy Insurance Company	300315	Agent - Casualty	6/4/2021
Active	American Economy Insurance Company	300315	Agent - Property	6/4/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/15/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/15/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/20/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/20/2017	11/14/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/13/2004	1/20/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/13/2004	1/20/2009
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	1/23/2002	10/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	1/23/2002	10/20/2003
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/23/2017
Active	Bristol West Insurance Company	301655	Agent - Property	3/23/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	10/19/2005	3/14/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	10/19/2005	3/14/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/19/2005	3/14/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/19/2005	3/14/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/19/2005	3/14/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/19/2005	3/14/2006
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/22/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/22/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/14/2002	8/23/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/14/2002	8/23/2005
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/19/2005	3/14/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/19/2005	3/14/2006
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	10/7/2016
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	10/7/2016
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	9/9/2002	1/3/2023
Active	Nationwide General Insurance Company	300603	Agent - Casualty	7/5/2006
Active	Nationwide General Insurance Company	300603	Agent - Property	7/5/2006
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/7/1995
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/7/1995
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	7/31/2001	1/14/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/22/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	7/20/2012	1/14/2020
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	11/7/1995	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	1/1/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	11/7/1995	8/15/2000
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	11/7/1995	8/15/2000
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/8/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	10/8/2020
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/19/2004	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/19/2004	11/25/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/3/2010	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/3/2010	12/23/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/4/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/4/2021
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/11/2007	8/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/11/2007	8/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	H&M Insurance Group LLC	1171971	Agent - Property	11/11/2021
Active	H&M Insurance Group LLC	1171971	Agent - Casualty	11/11/2021
Active	NBS Insurance Agency Inc	515576	Agent - Property	8/31/2005
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	8/31/2005
Active	Next Generation Insurance Agency, Inc	1048324	Agent - Life	7/23/2019
Active	Next Generation Insurance Agency, Inc	1048324	Agent - Property	7/23/2019
Active	Next Generation Insurance Agency, Inc	1048324	Agent - Casualty	7/23/2019