DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moultrie, Wayne C	DOIID	362416	NAIC NPN	253838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2006
Inactive	Non Resident	Agent	General Lines	5/31/1996	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2006
* 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	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/29/2005
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	5/31/1996	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/29/2005
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	11/22/2000	10/31/2005
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	11/22/2000	10/31/2005
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	11/22/2000	10/31/2005
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	11/22/2000	10/31/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/18/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	7/10/1996	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/18/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	8/17/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	7/10/1996	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	8/17/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	11/18/2003
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	7/10/1996	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	11/18/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ivantage Select Agency, Inc	547566	Agent - Property	4/18/2002	7/14/2003
Inactive	Ivantage Select Agency, Inc	547566	Agent - Casualty	4/18/2002	7/15/2003