DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moyen, Tina Dianne	DOIID	768736	NAIC NPN	16462539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	1/6/2012		1/31/2025
Active	Resident	Agent	Casualty	1/6/2012		1/31/2025
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/1/2013	9/13/2013
Active	Resident	Staff Adjuster	Property & Casualty	9/13/2013		1/31/2025
* 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	11/15/2024	01/31/2025
Staff Adjuster	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	1/6/2012	7/29/2013
Inactive	FB Insurance Company (The)	301763	Agent - Property	1/6/2012	7/29/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/6/2012	7/29/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/6/2012	7/29/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	9/18/2013	8/10/2020

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Youngblood, Gregory Doyle	385919	Apprentice Adjuster - Not Applicable	8/1/2013	9/13/2013