DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moulton, Cory Lane	DOIID	621699	NAIC NPN	1257444

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/8/2005	10/1/2012
Inactive	Non Resident	Agent	Property	12/8/2005	10/1/2012
Inactive	Non Resident	Managing General Agent	Not Applicable	11/6/2006	10/1/2012
* 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	U.S. Specialty Insurance Company	300186	Agent - Casualty	4/6/2006	1/31/2012
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	4/6/2006	1/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Indemnity Agency Inc	636863	Agent - Property	7/31/2006	6/29/2011
Inactive	Professional Indemnity Agency Inc	636863	Agent - Casualty	7/31/2006	6/29/2011
Inactive	Professional Indemnity Agency Inc of NY	557492	Agent - Property	2/2/2007	3/31/2008
Inactive	Professional Indemnity Agency Inc of NY	557492	Agent - Casualty	2/2/2007	3/31/2008