DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, James W	DOIID	647573	NAIC NPN	2772769

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/3/2009	11/30/2015
Inactive	Non Resident	Agent	Casualty	1/13/2007	11/30/2015
Inactive	Non Resident	Agent	Property	1/13/2007	11/30/2015
Inactive	Non Resident	Agent	Life	6/3/2009	11/30/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/30/2009	11/30/2015
* 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 Economy Insurance Company	300315	Agent - Casualty	11/5/2010	11/30/2015
Inactive	American Economy Insurance Company	300315	Agent - Property	11/5/2010	11/30/2015
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	11/30/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	11/30/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/28/2012	10/10/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/28/2012	10/10/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/28/2012	10/13/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/28/2012	10/13/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/28/2012	10/13/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/28/2012	10/13/2014
Inactive	American States Insurance Company	301230	Agent - Casualty	11/5/2010	11/30/2015
Inactive	American States Insurance Company	301230	Agent - Property	11/5/2010	11/30/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/15/2010	11/30/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/15/2010	11/30/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/16/2007	11/30/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/16/2007	11/30/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	11/30/2015
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	11/30/2015
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	11/30/2015
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	11/30/2015
Inactive	Great American Insurance Company	301586	Agent - Casualty	2/11/2013	11/30/2015
Inactive	Great American Insurance Company	301586	Agent - Property	2/11/2013	11/30/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/16/2007	11/30/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	3/16/2007	11/30/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/16/2007	11/30/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/16/2007	11/30/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007	11/30/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007	11/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	11/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	11/30/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	11/30/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	11/30/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/16/2007	11/30/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	3/16/2007	11/30/2015
Inactive	RLI Insurance Company	301217	Agent - Casualty	3/30/2007	1/30/2014
Inactive	RLI Insurance Company	301217	Agent - Property	3/30/2007	1/30/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	11/30/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	11/30/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	11/30/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	11/30/2015
Inactive	Seneca Insurance Company Inc.	301762	Agent - Casualty	3/26/2007	11/30/2015
Inactive	Seneca Insurance Company Inc.	301762	Agent - Property	3/26/2007	11/30/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	11/30/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	11/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marketsource Agency Network LLC	648756	Agent - Casualty	3/16/2007	2/12/2014
Inactive	Marketsource Agency Network LLC	648756	Agent - Property	3/16/2007	2/12/2014
Inactive	Marketsource Agency Network LLC	648756	Surplus Lines Broker - Not Applicable	2/24/2010	2/12/2014
Inactive	Marketsource Agency Network LLC	648756	Agent - Health	3/15/2010	2/4/2014
Inactive	Marketsource Agency Network LLC	648756	Agent - Life	3/15/2010	2/4/2014