DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Martha Ann	DOIID	574175	NAIC NPN	7820923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	12/10/2003	8/31/2006
* 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	Modern Woodmen of America	301213	Agent - Life	12/10/2003	8/9/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health		11/17/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life		11/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MWAGIA, Inc	549166	Agent - Life	2/28/2005	8/9/2006