DEPARTMENT OF INSURANCE

Affiliations

Name	Mosse & Mosse Insurance Associates, LLC	DOIID	624038	NAIC NPN	7343148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/18/2006	3/31/2018
Inactive	Non Resident	Agent	Life	1/18/2006	3/31/2018
Inactive	Non Resident	Agent	Property	6/28/2012	3/31/2018
Inactive	Non Resident	Agent	Casualty	6/28/2012	3/31/2018
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2006	11/2/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/6/2006	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2006	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2006	11/2/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/23/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/23/2014	12/8/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/19/2014	3/31/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/19/2014	3/31/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/19/2013	3/31/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/19/2013	3/31/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/23/2014	12/8/2015
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	2/1/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	2/1/2006	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/23/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/23/2014	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/26/2013	3/31/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/26/2013	3/31/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/6/2012	3/31/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/6/2012	3/31/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/6/2010	5/11/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/6/2010	5/11/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/6/2010	5/11/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/6/2010	5/11/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2011	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/1/2011	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/1/2011	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/1/2011	11/30/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mosse, Jonathan Richard	620442	Agent - Casualty	6/28/2012	3/31/2018
Inactive	Mosse, Jonathan Richard	620442	Agent - Health	1/18/2006	3/31/2018
Inactive	Mosse, Jonathan Richard	620442	Agent - Life	1/18/2006	3/31/2018
Inactive	Mosse, Jonathan Richard	620442	Agent - Property	6/28/2012	3/31/2018