DEPARTMENT OF INSURANCE

Affiliations

Name	Moutardier, Nancy Elizabeth	DOIID	750465	NAIC NPN	16178559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/23/2019	1/31/2025
Active	Resident	Agent	Casualty	9/6/2019	1/31/2025
Active	Resident	Agent	Property	9/11/2019	1/31/2025
Active	Resident	Agent	Health	9/20/2019	1/31/2025
* 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	Allstate Indemnity Company	300778	Agent - Casualty	6/10/2022	7/28/2022
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/10/2022	7/28/2022
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/10/2022	7/28/2022
Inactive	Allstate Insurance Company	300773	Agent - Property	6/10/2022	7/28/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/10/2022	7/28/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/10/2022	7/28/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	6/10/2022	7/28/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	6/10/2022	7/28/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2015	2/1/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2015	2/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/26/2015	2/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/26/2015	2/1/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/26/2015	2/1/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/26/2015	2/1/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/12/2021	2/13/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/11/2022	12/21/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/11/2022	12/21/2022
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	7/4/2022
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	7/4/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/27/2022
Active	Bristol West Insurance Company	301655	Agent - Property	9/27/2022
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	3/30/2023
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	3/30/2023
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/15/2023
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/29/2021	1/19/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/20/2015	10/25/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/20/2015	10/25/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/14/2022	4/12/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	6/14/2022	4/12/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	6/16/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	6/16/2022
Active	Erie Insurance Company	300230	Agent - Casualty	6/16/2022
Active	Erie Insurance Company	300230	Agent - Property	6/16/2022
Active	Erie Insurance Company of New York	789916	Agent - Casualty	6/16/2022
Active	Erie Insurance Company of New York	789916	Agent - Property	6/16/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	6/16/2022
Active	Erie Insurance Exchange	300789	Agent - Property	6/16/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	6/16/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	6/16/2022
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	5/19/2011	4/30/2015
Inactive	FB Insurance Company (The)	301763	Agent - Property	5/19/2011	4/30/2015
Active	Flagship City Insurance Company	789965	Agent - Casualty	6/16/2022
Active	Flagship City Insurance Company	789965	Agent - Property	6/16/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/27/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/27/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	7/13/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/13/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Health	7/4/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	7/4/2022
Inactive	Independent Order of Foresters	300743	Agent - Life	2/24/2021	12/28/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/9/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/9/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/9/2020
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	1/11/2021	4/1/2021
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	1/11/2021	4/1/2021
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/14/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/18/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/18/2022
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	4/1/2011	5/10/2011
Inactive	Shelter General Insurance Company	301109	Agent - Property	4/1/2011	5/10/2011
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	4/1/2011	5/10/2011
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	4/1/2011	5/10/2011
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/9/2015	4/30/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/9/2015	4/30/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/27/2019	10/6/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	9/27/2019	10/6/2020
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/27/2019	10/6/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/27/2019	10/6/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/27/2019	10/6/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/26/2015	2/15/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/26/2015	2/15/2017
Active	United Financial Casualty Company	301886	Agent - Casualty	7/18/2022
Active	United Financial Casualty Company	301886	Agent - Property	7/18/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Best Insured LLC	1211302	Agent - Casualty	2/17/2023
Active	Best Insured LLC	1211302	Agent - Property	2/17/2023
Active	Best Insured LLC	1211302	Agent - Health	2/17/2023
Active	Best Insured LLC	1211302	Agent - Life	2/17/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/12/2015	4/27/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/12/2015	4/27/2015
Inactive	Integrity Insurance Partners LLC	1205472	Agent - Casualty	5/17/2022	8/23/2022
Inactive	Integrity Insurance Partners LLC	1205472	Agent - Property	5/17/2022	8/23/2022
Inactive	Integrity Insurance Partners LLC	1205472	Agent - Health	5/17/2022	8/23/2022
Inactive	Integrity Insurance Partners LLC	1205472	Agent - Life	5/17/2022	8/23/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/5/2015	4/27/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	1/5/2015	4/27/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	1/9/2015	4/27/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/9/2015	4/27/2015