DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mosley, Cynthia K	DOIID	783950	NAIC NPN	16675206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/15/2013	5/31/2016
Inactive	Non Resident	Agent	Health	5/15/2013	5/31/2016
Inactive	Non Resident	Agent	Casualty	6/13/2012	5/31/2016
Inactive	Non Resident	Agent	Property	6/13/2012	5/31/2016
Inactive	Non Resident	Independent Adjuster	Property & Casualty	9/10/2012	5/31/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	9/24/2012	5/31/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	9/24/2012	5/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/10/2014	5/28/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/10/2014	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/10/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/10/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/10/2014	5/28/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/24/2012	5/31/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	9/24/2012	5/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/10/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/10/2014	5/28/2015
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	9/25/2012	12/9/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	H&R Block Health Ins Agency Inc	815294	Agent - Health	3/10/2014	5/28/2015
Inactive	H&R Block Health Ins Agency Inc	815294	Agent - Life	3/10/2014	5/28/2015
Inactive	H&R Block Ins Agency Inc	663231	Agent - Property	5/31/2013	5/31/2016
Inactive	H&R Block Ins Agency Inc	663231	Agent - Casualty	5/31/2013	5/31/2016
Inactive	H&R Block Ins Agency Inc	663231	Agent - Health	3/10/2014	5/28/2015
Inactive	H&R Block Ins Agency Inc	663231	Agent - Life	3/10/2014	5/28/2015