DEPARTMENT OF INSURANCE

Affiliations

Name	Moughamian, David Henry	DOIID	681005	NAIC NPN	10808558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	9/21/2010	9/30/2024
Active	Resident	Agent	Life	9/21/2010	9/30/2024
Active	Resident	Agent	Casualty	7/30/2015	9/30/2024
Active	Resident	Agent	Property	7/30/2015	9/30/2024
Denied	Resident	Life & Health Consultant	Not Applicable
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	8/3/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	5/12/2015	1/26/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	5/12/2015	1/8/2018
Active	American Heritage Life Insurance Company	300272	Agent - Health	6/6/2013
Active	American Heritage Life Insurance Company	300272	Agent - Life	6/6/2013
Active	American United Life Insurance Company	300498	Agent - Health	5/16/2014
Active	American United Life Insurance Company	300498	Agent - Life	5/16/2014
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/17/2020
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	1/6/2022
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	1/6/2022
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	12/8/2010
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/12/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/12/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/6/2010	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/27/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/13/2011	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	12/8/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	12/8/2010	6/11/2014
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Dental Care Plus Inc.	301495	Agent - Health	3/14/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/6/2010
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	8/31/2011
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	8/31/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/7/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/7/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/3/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/3/2011
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/3/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/3/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/6/2010
Active	Humana Insurance Company	301104	Agent - Health	12/6/2010
Active	Humana Insurance Company	301104	Agent - Life	12/6/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/6/2010	12/19/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2019
Active	Humana Medical Plan, Inc.	801568	Agent - Health	1/3/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/3/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/13/2011	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/13/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/6/2010	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/6/2010	8/9/2018
Active	Life Insurance Company of North America	300711	Agent - Health	6/14/2011
Active	Life Insurance Company of North America	300711	Agent - Life	6/14/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/11/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/11/2011
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	7/14/2020
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	7/14/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	4/2/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	4/2/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/25/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/25/2016
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	2/7/2013
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	2/7/2013
Active	Starmount Life Insurance Company	628031	Agent - Health	9/23/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	9/20/2013
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	9/20/2013
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/25/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/25/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2011
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2011
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/23/2015
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/24/2022
Active	Unum Insurance Company	301499	Agent - Health	9/23/2020
Active	Unum Insurance Company	301499	Agent - Life	9/23/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Mcgriff Insurance Services, LLC	400877	Agent - Life	2/1/2011
Active	Mcgriff Insurance Services, LLC	400877	Agent - Health	2/1/2011