DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, David Alan	DOIID	325628	NAIC NPN	2438645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/20/2002	8/31/2017
Inactive	Non Resident	Agent	Health	11/6/2000	8/31/2017
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/15/2017	8/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/20/2002	8/31/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/8/2003	12/13/2011
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	8/15/1994	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/5/2012	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/8/2003	8/31/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/3/2011	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/3/2011	11/23/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/24/2007	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/24/2007	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/24/2007	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/24/2007	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/5/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/5/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	10/22/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/25/2004	12/14/2012
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/8/1994	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/19/2012	10/29/2017
Inactive	Standard Insurance Company	300185	Agent - Life	7/1/2002	8/31/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/8/2003	10/29/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2006	11/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/20/2002	6/23/2008
Denied	Capital Benefits Group LLC	670142	Agent - Life
Denied	Capital Benefits Group LLC	670142	Agent - Health
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	8/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	8/31/2017
Inactive	Medlink Inc	400721	Agent - Life	6/18/2002	8/31/2017