DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Michelle Marie	DOIID	816539	NAIC NPN	6232811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/6/2013	8/31/2017
Inactive	Non Resident	Agent	Life	8/6/2013	8/31/2017
* 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	AXA XL Insurance Company Americas	300979	Agent - Health	3/30/2016	8/31/2017
Inactive	American National Insurance Company	301861	Agent - Health	1/27/2016	8/31/2017
Inactive	American National Insurance Company	301861	Agent - Life	1/27/2016	8/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/25/2015	8/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/2015	8/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/9/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/9/2014	12/8/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/4/2013	8/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/3/2016	5/30/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/3/2016	5/30/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	10/5/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/9/2014	8/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/15/2013	8/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2013	8/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2013	8/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/15/2013	8/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2013	8/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2013	8/31/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/9/2014	8/31/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	8/31/2017
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/19/2015	12/28/2016
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	1/19/2015	12/28/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/24/2013	10/22/2015
Inactive	SILAC Insurance Company	300535	Agent - Health	8/20/2013	12/13/2016
Inactive	SILAC Insurance Company	300535	Agent - Life	8/20/2013	12/13/2016
Inactive	Time Insurance Company	300683	Agent - Health	6/13/2014	8/31/2017
Inactive	Time Insurance Company	300683	Agent - Life	6/13/2014	8/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2013	2/21/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/16/2013	8/31/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	2/21/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/3/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/3/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/16/2013	8/31/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/16/2013	2/21/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	2/21/2017

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	8/25/2015	8/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/25/2015	8/31/2017