DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jordan, Debra Moon	DOIID	773734	NAIC NPN	16276110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/31/2012	11/30/2013
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/14/2012	11/30/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/2012	8/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/9/2012	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/9/2012	8/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/15/2012	11/30/2013