DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Peter Sheldon	DOIID	597610	NAIC NPN	1727831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/31/2004	7/31/2018
Inactive	Non Resident	Agent	Life	10/31/2004	7/31/2018
* 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	Humana Health Plan, Inc.	300142	Agent - Health	3/21/2005	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/24/2004	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/24/2004	9/3/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Palmer & Cay of Florida, LLC	565505	Agent - Health	1/7/2005	1/1/2006
Inactive	Palmer & Cay of Florida, LLC	565505	Agent - Life	1/7/2005	1/1/2006
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/4/2006	9/3/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/4/2006	9/3/2013