DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Polly Embry	DOIID	514443	NAIC NPN	5963352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/24/2000	1/15/2002
Inactive	Resident	Agent	Life	5/31/2001	1/15/2002
* 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 - Life	11/1/2000	1/15/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/24/2000	1/15/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/24/2000	1/15/2002
Inactive	Time Insurance Company	300683	Agent - Health	2/7/2001	1/15/2002
Inactive	Time Insurance Company	300683	Agent - Life	2/7/2001	1/15/2002
Inactive		300277	Agent - Life	1/9/2001	1/15/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bratcher Financial Services Inc.	400199	Agent - Life	2/1/2001	1/15/2002
Inactive	Bratcher Financial Services Inc.	400199	Agent - Health	2/1/2001	1/15/2002