DEPARTMENT OF INSURANCE

Affiliations

Name	Moessner, Deborah Louise	DOIID	380980	NAIC NPN	1480977

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	10/9/2014	10/23/2017
Inactive	Resident	Agent	Health	3/19/1993	10/1/2018
Inactive	Resident	Agent	Health Maintenance Organization	11/11/1991	3/1/2001
Inactive	Resident	Agent	Life	3/19/1993	10/1/2018
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/24/1996	3/4/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/24/1996	3/4/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	5/10/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/11/1991	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/1/2005	10/12/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	5/10/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	5/10/2017
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/12/1995	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/12/1995	4/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/24/1995	7/14/2004
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/24/1996	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/24/1996	3/31/1997
Inactive	MedAmerica Insurance Company	301568	Agent - Health	4/9/2009	1/5/2011
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/27/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/27/1997	3/31/2001
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/29/1995	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/29/1995	3/31/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/6/1995	8/11/2015
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/6/1995	8/11/2015
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/14/1997	8/18/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/14/1997	8/18/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/28/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/28/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/7/1997	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/7/1997	1/3/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	5/20/1998	1/6/1999
Inactive		300277	Agent - Health	6/16/1997	1/1/2007
Inactive		300277	Agent - Life	6/16/1997	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 Senior of The Southeast Inc.	401297	Administrator - Not Applicable	4/21/1995	3/31/1999
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	3/29/1995	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	3/29/1995	2/10/2004
Inactive	Anthem Health Plans of Kentucky (TPA)	401292	Administrator - Not Applicable	3/28/2016	10/23/2017
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/19/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/19/1993	2/28/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/13/2008	5/10/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/13/2008	5/10/2017