DEPARTMENT OF INSURANCE

Affiliations

Name	Moon, John Milton	DOIID	331523	NAIC NPN	1471040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/11/1980	8/31/2003
Inactive	Resident	Agent	General Lines	8/4/1981	8/15/2000
Inactive	Resident	Agent	Prepaid Dental Plan	3/22/1999	3/1/2001
Inactive	Resident	Agent	Health Maintenance Organization	3/17/1999	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	8/31/2003
Inactive	Resident	Agent	Health	11/11/1980	8/31/2003
Inactive	Resident	Agent	Casualty	8/15/2000	8/31/2003
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	Aetna Health Inc.	300694	Agent - Health	11/26/2002	8/31/2003
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/26/2002	8/31/2003
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/26/2002	8/31/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/8/1998	2/15/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/8/1998	2/15/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	9/9/2002	8/31/2003
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	9/9/2002	8/31/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/31/1998	8/16/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/31/1998	8/16/2003
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	9/9/2002	8/31/2003
Inactive	American Zurich Insurance Company	300592	Agent - Property	9/9/2002	8/31/2003
Inactive	Assurance Company of America	300432	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Assurance Company of America	300432	Agent - Property	9/9/2002	8/31/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/30/2001	8/31/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/24/1997	8/31/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/24/1997	8/31/2003
Inactive	Centre Life Insurance Company	300341	Agent - Health	1/9/1997	3/31/1999
Inactive	Continental Casualty Company	301019	Agent - Health	4/3/2000	8/31/2003
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	8/31/2003
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	3/22/1999	3/1/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/29/1991	8/31/2003
Inactive	First National Insurance Company of America	301690	Agent - General Lines	10/25/1991	3/31/1998
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/31/1997	8/31/2003
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/31/1997	8/31/2003
Inactive	General Insurance Company of America	300261	Agent - General Lines	4/21/1992	3/31/1998
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/9/2002	8/31/2003
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	8/4/1981	3/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/15/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/17/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/17/1999	8/15/2003
Inactive	Humana Insurance Company	301104	Agent - Life	3/17/1999	8/15/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	5/16/1985	8/31/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/16/1985	8/31/2003
Inactive	Kentucky Medical Insurance Company	301260	Agent - General Lines	5/25/1995	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Maryland Casualty Company	301719	Agent - Property	9/9/2002	8/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/21/1995	8/31/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/21/1995	8/31/2003
Inactive	Medical Life Insurance Company	300693	Agent - Health	5/10/1999	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	5/10/1999	12/31/2004
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	12/27/2000	8/31/2003
Inactive	Medical Protective Company (The)	301207	Agent - Property	12/27/2000	8/31/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Health	11/15/1996	4/22/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Life	11/15/1996	4/22/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	5/27/1998	8/31/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/27/1998	8/31/2003
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/9/2002	8/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	6/26/1985	4/13/1998
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	6/26/1985	4/13/1998
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	12/4/2000	8/31/2003
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	2/26/1998	8/31/2003
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	2/26/1998	11/16/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/17/1999	8/31/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/17/1999	8/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/22/1999	8/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/22/1999	8/31/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/15/1999	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/15/1999	1/3/2003
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/22/1999	8/31/2003
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	3/22/1999	8/31/2003
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	8/4/1981	3/31/1998
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	10/25/1991	3/31/1998
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	10/25/1991	3/31/1998
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/14/1992	3/31/1998
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	9/20/1999	8/31/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/15/1997	8/31/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/15/1997	8/31/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/11/1980	9/24/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/11/1980	9/24/2001
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/16/2000	6/18/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/16/2000	6/18/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	1/31/1992	8/31/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Health	12/19/2001	8/31/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Life	12/19/2001	8/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	8/17/1999	8/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	8/17/1999	8/31/2003
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/9/1999	5/24/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/9/1999	5/24/2001
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Zurich American Insurance Company	301121	Agent - Property	9/9/2002	8/31/2003
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	9/9/2002	8/31/2003
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	9/9/2002	8/31/2003
Inactive		300277	Agent - Health	10/10/1997	8/31/2003
Inactive		300277	Agent - Life	10/10/1997	8/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	KMA Insurance Agency Inc.	401270	Agent - General Lines	7/9/1997	8/15/2000
Inactive	KMA Insurance Agency Inc.	401270	Agent - Life	7/9/1997	8/31/2003
Inactive	KMA Insurance Agency Inc.	401270	Agent - Health	7/9/1997	8/31/2003
Inactive	KMA Insurance Agency Inc.	401270	Agent - Property	8/15/2000	8/31/2003
Inactive	KMA Insurance Agency Inc.	401270	Agent - Casualty	8/15/2000	8/31/2003
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	8/31/2003
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	8/31/2003