DEPARTMENT OF INSURANCE

Affiliations

Name	Mosley, Glenn Edward	DOIID	377923	NAIC NPN	7203664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/25/1970	7/1/2004
Inactive	Resident	Agent	Health Maintenance Organization	11/20/1992	3/1/2001
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
Inactive	Resident	Agent	Life	2/25/1970	12/21/2003
Inactive	Resident	Agent	General Lines	12/9/1971	8/15/2000
* 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	3/5/1996	10/15/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/5/1996	10/15/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	7/1/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/20/1992	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/13/1999	12/21/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/13/1999	12/21/2003
Inactive	Celtic Insurance Company	300877	Agent - Health	10/6/1992	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	10/6/1992	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/20/2001	12/21/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/20/2001	12/21/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	2/25/1970	12/21/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/25/1970	12/21/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	2/21/2001	12/21/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/21/2001	12/21/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/21/1996	12/21/2003
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	3/31/1996
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	1/28/1994	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/1/2004
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	1/21/1992	3/31/1998
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	11/1/2001	12/21/2003
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	11/1/2001	12/21/2003
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	11/1/2001	12/21/2003
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	11/1/2001	12/21/2003
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	11/1/2001	12/21/2003
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	11/1/2001	12/21/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/10/1997	12/21/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/10/1997	12/21/1998
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	12/9/1971	3/31/1998
Inactive	Western Surety Company	300283	Agent - General Lines	4/18/1995	1/5/1998

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	8/17/1999	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/17/1999	2/28/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	7/1/2004
Inactive	Hyden Insurance Agency	399176	Agent - General Lines	5/9/1988	8/15/2000
Inactive	Hyden Insurance Agency	399176	Agent - Property	8/15/2000	8/9/2001
Inactive	Hyden Insurance Agency	399176	Agent - Casualty	8/15/2000	8/9/2001
Inactive	Insurance One Inc.	399840	Agent - Life	11/13/1992	12/21/2003
Inactive	Insurance One Inc.	399840	Agent - Health	11/13/1992	5/31/2004
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Life	8/20/2001	11/14/2003
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Health	8/20/2001	11/14/2003
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Property	8/20/2001	11/14/2003
Inactive	Middlefork Insurance Agency, Inc	519863	Agent - Casualty	8/20/2001	11/14/2003