DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Michael D	DOIID	372714	NAIC NPN	921622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/27/1995	4/30/2009
Inactive	Non Resident	Agent	Life	6/27/1995	4/30/2009
Inactive	Non Resident	Agent	Health Maintenance Organization	9/1/1995	3/1/2001
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/18/2006	4/30/2009
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	9/19/2002	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/19/2002	12/28/2006
Inactive	American General Life Insurance Company	301585	Agent - Health	10/20/2003	4/30/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	10/20/2003	4/30/2009
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	4/9/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/24/1997	4/30/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/24/1997	4/30/2009
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	9/10/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	9/10/1991	3/31/1997
Inactive	Continental Casualty Company	301019	Agent - Health	6/20/2002	12/6/2004
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	3/17/2003	8/21/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/14/1998	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/14/1998	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/14/1998	12/26/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/11/2002	9/25/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/11/2002	9/25/2005
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/30/1998	4/14/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/30/1998	4/14/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/19/2004	5/26/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/19/2004	5/26/2009
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	10/3/2003
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	9/1/1995	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/27/1995	10/3/2003
Inactive	Humana Insurance Company	301104	Agent - Life	6/27/1995	10/3/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	2/12/1998	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	2/12/1998	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/19/1998	11/4/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/19/1998	11/4/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	7/23/2001	12/12/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/23/2001	12/12/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/29/2006	4/30/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/29/2006	4/30/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	8/29/2006	4/30/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/27/1995	4/30/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/27/1995	4/30/2009
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	11/10/1998	3/26/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	11/10/1998	3/26/2003
Inactive	Manufacturers Life Insurance Company of America (The)	300618	Agent - Life	8/20/1998	12/31/2001
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	11/29/1999	1/22/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/27/1995	4/30/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/27/1995	4/30/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	1/11/2007	4/30/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/11/2007	4/30/2009
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	7/25/2005	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/14/1998	4/30/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/14/1998	4/30/2009
Inactive	Nassau Life Insurance Company	301406	Agent - Health	6/3/1998	4/23/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Life	6/3/1998	4/23/2003
Inactive	New England Life Insurance Company	300343	Agent - Health	7/27/1998	4/30/2009
Inactive	New England Life Insurance Company	300343	Agent - Life	7/27/1998	4/30/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/27/1995	4/30/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/27/1995	4/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/6/2001	7/29/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/6/2001	7/29/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/6/2001	7/29/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/6/2001	7/29/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/22/2004	4/30/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	5/31/2006	4/30/2009
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	12/29/1998	4/30/2009
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	12/29/1998	5/31/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	5/31/2006	4/30/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	5/30/2006	10/23/2008
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	5/30/2006	10/23/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/12/1998	5/26/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/12/1998	5/26/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	11/12/1998	5/26/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/12/1998	5/26/2009
Inactive	Time Insurance Company	300683	Agent - Health	3/19/2001	10/17/2008
Inactive	Time Insurance Company	300683	Agent - Life	3/19/2001	10/17/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	2/3/1998	5/13/2003
Inactive	Trustmark Insurance Company	300317	Agent - Life	2/3/1998	5/13/2003
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/30/1981	3/31/1997
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/30/1981	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	6/20/2002	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	6/20/2002	12/6/2004
Inactive		300277	Agent - Life	4/1/2003	7/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Huntington Insurance Agency Inc.	399897	Agent - Life	12/1/1997	7/11/2003
Inactive	Huntington Insurance Agency Inc.	399897	Agent - Health	12/1/1997	7/11/2003
Inactive	Huntington Life Insurance Agency, Inc.	551758	Agent - Life	8/12/2002	5/13/2008
Inactive	Huntington Life Insurance Agency, Inc.	551758	Agent - Health	8/12/2002	5/13/2008
Inactive	Medlink Inc	400721	Agent - Life	1/3/1992	12/9/1996
Inactive	Medlink Inc	400721	Agent - Health	1/3/1992	12/9/1996