DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Penny	DOIID	821104	NAIC NPN	16900141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/19/2013	4/20/2022
Inactive	Non Resident	Agent	Casualty	3/20/2014	4/20/2022
Inactive	Non Resident	Agent	Property	3/20/2014	4/20/2022
Inactive	Non Resident	Agent	Life	9/19/2013	4/20/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	5/21/2024		2/28/2027
* 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	Continental American Insurance Company	301700	Agent - Health	10/28/2013	3/13/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	10/28/2013	3/13/2019
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/13/2015	10/3/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/13/2015	10/3/2016
Inactive	LM General Insurance Company	300133	Agent - Casualty	1/13/2015	10/3/2016
Inactive	LM General Insurance Company	300133	Agent - Property	1/13/2015	10/3/2016
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/13/2015	10/3/2016
Inactive	LM Insurance Corporation	301061	Agent - Property	1/13/2015	10/3/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/13/2015	10/3/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/13/2015	10/3/2016
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	4/28/2017	4/20/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	4/28/2017	4/20/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/13/2015	10/3/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/13/2015	10/3/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/28/2017	4/20/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/28/2017	4/20/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/8/2016	10/11/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/8/2016	10/11/2018
Inactive	New York Life Insurance Company	300431	Agent - Health	1/26/2015	1/10/2022
Inactive	New York Life Insurance Company	300431	Agent - Life	1/26/2015	1/10/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/28/2013	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/28/2013	12/18/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/26/2015	10/28/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/26/2015	10/28/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019	1/10/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019	1/10/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/28/2019	4/20/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/28/2019	4/20/2022