DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Gary Scott	DOIID	668166	NAIC NPN	9887827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	11/20/2007	11/30/2025
Active	Resident	Agent	Life	11/20/2007	11/30/2025
Active	Resident	Agent	Health	11/20/2007	11/30/2025
Active	Resident	Agent	Property	11/20/2007	11/30/2025
* 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	Bristol West Insurance Company	301655	Agent - Casualty	1/30/2008	11/29/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/30/2008	11/29/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/3/2007	12/27/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/3/2007	12/27/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	11/20/2007
Active	FB Insurance Company (The)	301763	Agent - Health	11/20/2007
Active	FB Insurance Company (The)	301763	Agent - Property	11/20/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/5/2007	11/29/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/5/2007	11/29/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/17/2009	11/9/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/17/2009	11/9/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/11/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/11/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/2/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/2/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/20/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/20/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/20/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/29/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/29/2021
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/30/2007	10/31/2012
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/30/2007	10/31/2012
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/30/2007	10/31/2012
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/30/2007	10/31/2012