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	1/31/2027
Active	Resident	Agent	Health	9/20/2019	1/31/2027
Active	Resident	Agent	Casualty	9/6/2019	1/31/2027
Active	Resident	Agent	Property	9/11/2019	1/31/2027
* 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	11/15/2026	01/31/2027

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 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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/27/2022	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/27/2022	12/20/2024
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	3/30/2023
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	3/30/2023
Inactive	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/15/2023	8/29/2025
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/29/2021	1/19/2024
Active	Combined Insurance Company of America	301472	Agent - Health	5/2/2025
Active	Combined Insurance Company of America	301472	Agent - Life	5/2/2025
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
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/9/2020	5/16/2025
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/9/2020	5/16/2025
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/9/2020	5/16/2025
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
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/14/2024	12/31/2024
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
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	1/26/2015	2/1/2017
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	1/26/2015	2/1/2017
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