DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moffett, Mary A	DOIID	684472	NAIC NPN	11042930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/9/2008	10/31/2014
Inactive	Non Resident	Agent	Health	7/9/2008	10/31/2014
* 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	Minnesota Life Insurance Company	300488	Agent - Health	12/30/2008	10/31/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/30/2008	10/31/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/7/2009	3/26/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/7/2009	3/26/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/2/2011	3/26/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/2/2011	3/26/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	3/30/2012	10/31/2014
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	3/30/2012	10/31/2014