DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Jane Gates	DOIID	552871	NAIC NPN	7339815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/26/2002	10/31/2007
Inactive	Resident	Agent	Life	11/6/2002	7/1/2006
* 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	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	12/16/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/26/2002	12/26/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/27/2002	2/1/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	2/1/2005
Inactive	National City Insurance Group Inc.	399045	Agent - Life	8/13/2004	2/1/2005