DEPARTMENT OF INSURANCE

Affiliations

Name	Moses, Jeffrey Scott	DOIID	563499	NAIC NPN	7516583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/26/2004	10/8/2012
Inactive	Non Resident	Agent	Property	2/26/2004	10/8/2012
Inactive	Non Resident	Agent	Life	1/22/2003	10/8/2012
Inactive	Non Resident	Agent	Health	1/22/2003	10/8/2012
* 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	AIG Assurance Company	300897	Agent - Casualty	4/2/2004	3/20/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/2/2004	3/20/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/23/2008	10/8/2012
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/23/2008	10/8/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	8/25/2003	8/10/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/25/2003	8/10/2005
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	11/16/2005	2/26/2010
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	11/16/2005	2/26/2010
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	11/14/2005	2/26/2010
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	11/14/2005	2/26/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/16/2007	10/8/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/16/2007	10/8/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/4/2006	10/8/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/4/2006	10/8/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/22/2003	12/23/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/22/2003	12/23/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	3/20/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	3/20/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	3/20/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	3/20/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/6/2007	10/8/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/6/2007	10/8/2012
Inactive	Liberty Life Insurance Company	301542	Agent - Health	2/19/2003	12/11/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Life	2/19/2003	12/11/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/27/2004	3/12/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/27/2004	3/12/2007
Inactive	Owners Insurance Company	300796	Agent - Casualty	11/16/2005	2/26/2010
Inactive	Owners Insurance Company	300796	Agent - Property	11/16/2005	2/26/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	3/20/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	3/20/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/14/2003	4/11/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/14/2003	4/11/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Insurance Agency	398469	Agent - Health	11/14/2005	2/26/2010
Inactive	Forcht Insurance Agency	398469	Agent - Life	11/14/2005	2/26/2010
Inactive	Forcht Insurance Agency	398469	Agent - Casualty	12/28/2004	10/8/2012
Inactive	Forcht Insurance Agency	398469	Agent - Property	12/28/2004	10/8/2012