DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moss, Don E	DOIID	341914	NAIC NPN	7187926

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	2/13/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/30/2008
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/10/2006	4/30/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/25/2004	4/30/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/13/1996	12/23/1996
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/7/2002	4/2/2007
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Credit Life & Health	12/27/1999	8/7/2000
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	8/7/2000	12/11/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Herb Jones Chevrolet Inc.	398788	Agent - Limited Line Credit	2/24/2004	4/30/2008
Inactive	Herb Jones Nissan Inc.	400629	Agent - Limited Line Credit	7/15/2002	4/30/2008