DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, David M	DOIID	367706	NAIC NPN	7199181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/10/2002	7/1/2004
Inactive	Resident	Agent	Health Maintenance Organization	9/2/1998	12/1/2000
Inactive	Resident	Agent	Health	2/20/2002	7/1/2004
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/30/2003	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/30/2003	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/2/1998	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/2/1998	12/1/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/25/1999	2/18/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/25/1999	2/18/2000
Inactive	EMC National Life Company	300388	Agent - Health	9/19/2003	12/3/2003
Inactive	EMC National Life Company	300388	Agent - Life	9/19/2003	12/3/2003
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	1/28/1998	6/20/1999
Inactive	First Alliance Insurance Company	301000	Agent - Health	2/20/2002	9/14/2002
Inactive	First Alliance Insurance Company	301000	Agent - Life	1/10/2002	9/14/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/20/1998	12/1/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/5/2003	7/1/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/15/1999	7/26/1999
Inactive	Humana Insurance Company	301104	Agent - Health	9/5/2003	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Life	9/5/2003	7/1/2004
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	7/23/2003	12/3/2003
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	7/23/2003	12/3/2003
Inactive	MONY Life Insurance Company	301141	Agent - Health	1/28/1998	6/20/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	1/28/1998	6/20/1999
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/30/2002	9/14/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	3/13/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	3/13/1998	8/24/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/18/2002	7/1/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/18/2002	7/1/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/13/1998	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/13/1998	12/1/2000
Inactive	United American Insurance Company	300910	Agent - Health	12/3/1998	11/4/1999
Inactive	United American Insurance Company	300910	Agent - Life	12/3/1998	11/4/1999
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/27/1999	11/4/1999
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/1998	12/1/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/2/1998	12/1/2000
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	9/2/1998	12/1/2000

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	8/5/1998	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/5/1998	12/1/2000