DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Jacky Wilmon	DOIID	664270	NAIC NPN	9681661

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/12/2007	1/1/2014
Inactive	Resident	Agent	Casualty	4/13/2010	1/1/2014
Inactive	Resident	Agent	Property	1/14/2010	1/1/2014
Inactive	Resident	Agent	Life	12/12/2007	1/1/2014
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	6/3/2011	1/1/2014
Inactive	Aegis Security Insurance Company	300492	Agent - Property	6/3/2011	1/1/2014
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/8/2010	1/1/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/8/2010	1/1/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/8/2010	1/1/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/14/2011	12/27/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/14/2011	12/27/2013
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/2/2010	8/19/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/2/2010	8/19/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	6/15/2009	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	6/15/2009	5/12/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/9/2010	8/31/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/9/2010	8/31/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	5/6/2009	11/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	5/6/2009	11/20/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/16/2010	1/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/16/2010	1/1/2014
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/18/2010	5/8/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/21/2010	1/30/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	6/25/2010	5/16/2012
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	6/25/2010	5/16/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	8/30/2010	11/19/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	8/30/2010	11/19/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/5/2009	12/19/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/27/2011	8/20/2012
Inactive	Continental Casualty Company	301019	Agent - Casualty	7/30/2010	8/19/2010
Inactive	Continental Casualty Company	301019	Agent - Property	7/30/2010	8/19/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/2/2010	8/19/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/2/2010	8/19/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/12/2009	6/28/2011
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/12/2009	6/28/2011
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/18/2009	5/24/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/27/2011	8/20/2012
Inactive	Family Life Insurance Company	300356	Agent - Health	7/27/2010	12/28/2010
Inactive	Family Life Insurance Company	300356	Agent - Life	7/27/2010	12/28/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/13/2010	1/1/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/16/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/16/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/16/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/16/2009	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/27/2011	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/27/2011	12/17/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/22/2010	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/22/2010	12/13/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	7/22/2010	12/17/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	7/22/2010	12/17/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/7/2010	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/7/2010	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/7/2010	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/27/2011	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/27/2011	8/20/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/13/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/13/2011	11/8/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/1/2010	4/18/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/7/2010	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/7/2010	8/20/2012
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	4/20/2010	1/16/2014
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	4/20/2010	1/16/2014
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	6/25/2010	2/25/2011
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	6/25/2010	2/25/2011
Inactive	MedAmerica Insurance Company	301568	Agent - Health	4/20/2009	10/24/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/20/2008	12/17/2012
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/2/2010	8/19/2010
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/2/2010	8/19/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/7/2010	1/1/2014
Inactive	Oxford Life Insurance Company	301079	Agent - Health	6/23/2009	1/20/2011
Inactive	Oxford Life Insurance Company	301079	Agent - Life	6/23/2009	1/20/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/23/2011	2/8/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/23/2011	2/8/2012
Inactive	Royal Neighbors of America	301646	Agent - Life	1/20/2011	1/27/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/15/2010	2/12/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/15/2010	2/12/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/12/2007	10/31/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/12/2007	10/31/2008
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/2/2010	8/19/2010
Inactive	Transportation Insurance Company	301575	Agent - Property	8/2/2010	8/19/2010
Inactive	Union Central Life Insurance Company	300307	Agent - Health	6/5/2009	11/2/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/5/2009	11/2/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/16/2008	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/16/2008	12/17/2012
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/2/2010	8/19/2010
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/2/2010	8/19/2010
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	7/10/2009	1/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	7/10/2009	1/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/16/2010	1/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/16/2010	1/1/2014
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Health	8/4/2010	1/1/2014
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Life	8/4/2010	1/1/2014
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Casualty	8/4/2010	1/1/2014
Inactive	J. G. Keown Insurance Agency Inc.	399889	Agent - Property	8/4/2010	1/1/2014
Inactive	Medlink Inc	400721	Agent - Health	3/11/2008	1/1/2014
Inactive	Medlink Inc	400721	Agent - Life	3/11/2008	10/31/2008
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Health	2/16/2012	1/1/2014
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Life	2/16/2012	6/13/2013
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Casualty	2/16/2012	1/1/2014
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Property	2/16/2012	1/1/2014