DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moor, Donna Marie	DOIID	511777	NAIC NPN	7214163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/25/2022		1/31/2026
Active	Resident	Agent	Life	4/25/2022		1/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	10/17/2000	3/1/2001
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/25/2010	1/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/25/2010	1/31/2012
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/23/2009	1/31/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	8/12/2007
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	10/17/2000	3/1/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/14/2010	1/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/14/2010	1/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/14/2010	1/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/14/2010	1/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/14/2010	1/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/14/2010	1/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/14/2010	1/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2010	1/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2010	1/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/14/2010	1/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/14/2010	1/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/20/2010	1/31/2012
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Hall & Clark Insurance Agency Inc.	399717	Agent - Health	12/23/2009	10/6/2011
Inactive	Hall & Clark Insurance Agency Inc.	399717	Agent - Life	1/14/2010	10/6/2011