DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Brian Keith	DOIID	554818	NAIC NPN	7384204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/9/2009	8/1/2010
Inactive	Resident	Agent	Health	1/9/2009	8/1/2010
* 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	11/30/2009	8/1/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/30/2009	8/1/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	3/2/2009	8/17/2010
Inactive	American Continental Insurance Company	643130	Agent - Life	3/2/2009	8/17/2010
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/3/2009	8/1/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/19/2006	5/28/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/19/2006	5/28/2008
Inactive	American Income Life Insurance Company	300256	Agent - Health	1/9/2009	3/12/2009
Inactive	American Income Life Insurance Company	300256	Agent - Life	1/9/2009	3/12/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	9/8/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/2/2009	8/17/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/2/2009	8/17/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/7/2009	8/1/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/7/2009	8/1/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/27/2009	5/11/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2009	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/2009	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/24/2009	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/24/2009	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/24/2009	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/24/2009	9/9/2010
Inactive	Integrity Life Insurance Company	301687	Agent - Life	5/1/2009	2/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/24/2009	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/24/2009	9/9/2010
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/21/2009	2/16/2010
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/21/2009	2/16/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	7/21/2010	8/1/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	7/21/2010	8/1/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/25/2009	6/1/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/25/2009	6/1/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	8/7/2006	11/6/2006
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	8/7/2006	11/6/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/6/2009	8/1/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	1/4/2007	6/11/2007
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	1/4/2007	6/11/2007
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	2/23/2009	3/6/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	2/23/2009	8/1/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	1/4/2007	6/11/2007
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	1/4/2007	6/11/2007
Inactive	Primerica Life Insurance Company	300970	Agent - Health	12/17/2002	7/1/2004
Inactive	Primerica Life Insurance Company	300970	Agent - Life	12/13/2002	7/1/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/1/2009	8/1/2010
Inactive	Royal Neighbors of America	301646	Agent - Life	12/7/2009	8/1/2010
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	3/26/2009	8/1/2010
Inactive	Time Insurance Company	300683	Agent - Health	3/10/2009	8/1/2010
Inactive	Time Insurance Company	300683	Agent - Life	3/10/2009	8/1/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/29/2010	8/1/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/29/2010	8/1/2010
Inactive	United Investors Life Insurance Company	301873	Agent - Life	11/24/2009	8/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/6/2009	8/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/6/2009	8/1/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/23/2009	3/6/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/23/2009	8/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	3/23/2009	8/1/2010
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	3/23/2009	8/1/2010