DEPARTMENT OF INSURANCE

Affiliations

Name	Moutardier, Angela Marie	DOIID	521934	NAIC NPN	7216524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	6/19/2001	5/1/2015
Inactive	Resident	Agent	Casualty	6/19/2001	5/1/2015
Inactive	Resident	Agent	Life	12/16/2004	5/1/2015
Inactive	Resident	Agent	Health	12/16/2004	5/1/2015
* 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	AmTrust Insurance Company	300179	Agent - Casualty	6/10/2002	8/1/2003
Inactive	AmTrust Insurance Company	300179	Agent - Property	6/10/2002	8/1/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/7/2005	4/17/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/7/2005	4/17/2008
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	11/4/2005	12/23/2008
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	11/4/2005	12/23/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/29/2005	12/17/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/29/2005	12/17/2007
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	6/19/2001	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	6/19/2001	10/15/2004
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/5/2002	8/25/2003
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/5/2002	8/25/2003
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Property	3/23/2009	11/1/2013
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	11/1/2013
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	11/1/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/23/2009	11/1/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/23/2009	11/1/2013
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/6/2009	11/1/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/23/2009	11/1/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/23/2009	11/1/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/23/2009	11/1/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/25/2002	8/7/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/25/2002	8/7/2003
Inactive	Security National Insurance Company	301151	Agent - Casualty	6/10/2002	8/1/2003
Inactive	Security National Insurance Company	301151	Agent - Property	6/10/2002	8/1/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/31/2002	11/21/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/31/2002	11/21/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/31/2002	3/15/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/31/2002	3/15/2004
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	6/10/2002	8/1/2003
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	6/10/2002	8/1/2003
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/23/2009	11/1/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/23/2009	11/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kinkade-Cornell Ins Agency Inc	401041	Agent - Property	5/13/2002	8/5/2003
Inactive	Kinkade-Cornell Ins Agency Inc	401041	Agent - Casualty	5/13/2002	8/5/2003