DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moss, Darrell E	DOIID	633289	NAIC NPN	8695531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/31/2011	2/28/2014
Inactive	Non Resident	Agent	Life	10/31/2011	2/28/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	12/4/2017	2/29/2024
* 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	American General Life Insurance Company	301585	Agent - Health	1/25/2007	2/29/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	1/25/2007	2/29/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/4/2012	7/10/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/4/2012	7/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/4/2012	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/4/2012	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/2012	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/4/2012	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/4/2012	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/5/2007	2/29/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/5/2007	2/29/2008
Inactive	Time Insurance Company	300683	Agent - Health	8/22/2006	8/13/2007
Inactive	Time Insurance Company	300683	Agent - Life	8/22/2006	8/13/2007
Inactive	United American Insurance Company	300910	Agent - Health	11/30/2006	10/26/2007
Inactive	United American Insurance Company	300910	Agent - Life	11/30/2006	10/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/16/2007	6/4/2007
Inactive	HBDC II, Inc	641352	Agent - Life	2/16/2007	6/4/2007