DEPARTMENT OF INSURANCE

Affiliations

Name	Moberly, Betty S	DOIID	343706	NAIC NPN	1459100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		6/30/2025
Active	Resident	Agent	Life	12/31/1986		6/30/2025
Active	Resident	Agent	Health	12/31/1986		6/30/2025
Active	Resident	Agent	Property	12/5/2006		6/30/2025
Active	Resident	Agent	Casualty	9/20/2006		6/30/2025
Inactive	Resident	Agent	Health Maintenance Organization	4/15/1987	3/1/2001
Active	Resident	Life & Health Consultant	Not Applicable	12/18/2006		6/30/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/25/2009	5/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/25/2009	5/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/25/2009	4/3/2023
Inactive	All Savers Insurance Company	301940	Agent - Health	3/26/2012	5/2/2018
Inactive	All Savers Insurance Company	301940	Agent - Life	5/28/2015	5/2/2018
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/11/1994	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/11/1994	12/16/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/11/1991	2/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/11/1991	2/19/2014
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/10/2000
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/10/2000
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	6/7/2006	6/5/2015
Active	American National Life Insurance Company of Texas	300912	Agent - Life	6/7/2006
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	1/23/2002	10/22/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	1/23/2002	10/22/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	12/7/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/15/1987	3/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	9/16/2013
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	3/9/2005
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/11/2012
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/11/2012
Inactive	Canada Life Assurance Company	301192	Agent - Health	12/9/1998	11/19/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	12/9/1998	11/19/2003
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	7/13/1995	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	7/13/1995	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/27/2010	8/14/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/11/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/11/2009	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/9/2005	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	3/9/2005	6/11/2014
Inactive	Dental Care Plus Inc.	301495	Agent - Health	11/18/2005	3/22/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	8/14/2015
Inactive	DentiCare, Inc.	300655	Agent - Health	3/29/2001	11/1/2005
Inactive	Direct General Life Insurance Company	301045	Agent - Health	7/3/1996	2/13/1998
Inactive	Direct General Life Insurance Company	301045	Agent - Life	7/3/1996	2/13/1998
Inactive	Eastern Life and Health Insurance Company	300516	Agent - Health	9/30/2009	6/30/2010
Inactive	Eastern Life and Health Insurance Company	300516	Agent - Life	9/30/2009	6/30/2010
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	10/13/2005
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	10/13/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/23/1988	12/20/2006
Inactive	Fort Wayne Health & Casualty Insurance Company	301572	Agent - Health	3/5/1996	12/22/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/28/1994	2/6/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/28/1994	2/6/1997
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/14/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/14/2008	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/15/1987	11/5/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/15/1987	11/5/1998
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	10/27/1992	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	10/27/1992	9/8/2000
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/10/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/10/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/14/1998
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/14/1998
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/15/2014	8/14/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/15/2014	8/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/29/1989	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/6/1997	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/6/1997	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	8/14/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/15/2014	8/14/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	5/13/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	12/5/2014
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/3/1998
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/3/1998
Active	Life Insurance Company of North America	300711	Agent - Health	8/28/2007
Active	Life Insurance Company of North America	300711	Agent - Life	8/28/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	12/7/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	12/7/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/29/2007	7/8/2015
Inactive	Lincoln National Reassurance Company	301919	Agent - Life	3/5/1996	1/6/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/31/2010	12/11/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/31/2010	12/11/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/14/1998	9/23/2003
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	9/27/1990	2/13/1998
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	9/27/1990	2/13/1998
Inactive	National Travelers Life Company	300304	Agent - Health	10/23/2000	3/11/2002
Inactive	National Travelers Life Company	300304	Agent - Life	10/23/2000	3/11/2002
Inactive	New York Life Insurance Company	300431	Agent - Health	12/31/1986	2/13/1998
Inactive	New York Life Insurance Company	300431	Agent - Life	12/31/1986	2/13/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	1/21/1987	2/13/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/21/1987	2/13/1998
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	2/6/1995	3/31/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/6/1995	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	2/8/2000	7/16/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	2/8/2000	7/16/2001
Inactive	Pan-American Assurance Company	301533	Agent - Health	8/31/1993	2/14/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	8/31/1993	2/14/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	8/31/1993	2/14/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	8/31/1993	2/14/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/30/1997	11/10/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/11/1990	3/31/1997
Inactive	Penn Insurance and Annuity Company	300712	Agent - Health	9/28/1998	4/1/2004
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	9/28/1998	4/1/2004
Inactive	Penn Insurance and Annuity Company	300712	Agent - Variable Life and Variable Annuities	5/14/2001	4/1/2004
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	9/28/1998	4/1/2004
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	9/28/1998	4/1/2004
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Variable Life and Variable Annuities	5/14/2001	4/1/2004
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	3/30/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	3/30/1994	3/31/1997
Active	Principal Life Insurance Company	300129	Agent - Health	7/21/1994
Active	Principal Life Insurance Company	300129	Agent - Life	7/21/1994
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/10/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/10/2010
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	7/16/1997
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	7/16/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/20/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/20/2008	12/23/2014
Active	Prudential Insurance Company of America	300784	Agent - Health	6/21/2002
Active	Prudential Insurance Company of America	300784	Agent - Life	6/21/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	5/8/1996	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/8/1996	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/25/2008	10/5/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	8/25/2008	10/5/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	5/17/2004
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	5/17/2004
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	4/19/2000	7/7/2003
Inactive	Security Life Insurance Company of America	300936	Agent - Health	6/30/2010	3/20/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	6/30/2010	3/20/2013
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/25/2008	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	8/25/2008	9/29/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	5/7/1996	12/30/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/7/1996	12/30/1998
Inactive	Standard Insurance Company	300185	Agent - Health	10/6/2005	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	10/6/2005	12/31/2013
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/27/2016	12/22/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/27/2016	12/22/2023
Inactive	Swiss Re Life & Health America, Inc.	300722	Agent - Life	1/6/2003	12/22/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/19/1991	4/22/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/19/1991	4/22/2009
Inactive	Time Insurance Company	300683	Agent - Health	9/21/2004	12/27/2006
Inactive	Time Insurance Company	300683	Agent - Life	9/21/2004	12/27/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/24/2008	7/21/2016
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/17/1996	7/22/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/24/2008	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/14/1995	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/14/1995	10/16/1996
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/2/1993	12/21/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/2/1993	12/21/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	9/28/1994	12/31/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	8/7/2014	12/31/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/29/2001	2/24/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	5/2/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	5/2/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/6/1995	12/6/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/6/1995	12/6/1999
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/28/2006	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/28/2006	12/14/2009
Inactive		300277	Agent - Health	5/8/1996	1/1/2007
Inactive		300277	Agent - Life	5/8/1996	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	5/26/1994	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/8/2000	12/7/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/8/2000	12/7/2001
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	8/31/2011	5/1/2013
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	8/31/2011	5/1/2013
Inactive	Assuredpartners Nl, Llc	762387	Agent - Variable Life and Variable Annuities	9/22/2011	10/16/2011
Denied	Assuredpartners Nl, Llc	762387	Agent - Casualty
Denied	Assuredpartners Nl, Llc	762387	Agent - Property
Inactive	Assuredpartners Nl, Llc	762387	Life & Health Consultant - Not Applicable	3/16/2012	9/27/2021
Active	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Health	2/27/2003	5/31/2003
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Life	2/27/2003	5/31/2003
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Variable Life and Variable Annuities	2/27/2003	5/31/2003
Inactive	Neace Lukens, Inc.	398909	Agent - Health	3/30/2006	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Life	3/30/2006	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Life & Health Consultant - Not Applicable	1/3/2007	3/31/2014
Inactive	Thompson Associates Inc.	398584	Agent - Health	3/18/1998	3/20/2006
Inactive	Thompson Associates Inc.	398584	Agent - Life	3/18/1998	3/20/2006