DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Stephanie Ann	DOIID	910550	NAIC NPN	7597874

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/23/2016	3/31/2027
Active	Non Resident	Agent	Casualty	3/23/2016	3/31/2027
Active	Non Resident	Agent	Health	3/23/2016	3/31/2027
Active	Non Resident	Agent	Life	3/23/2016	3/31/2027
* 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	01/15/2025	03/31/2025	02/14/2025	02/14/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Fire and Casualty Company	300567	Agent - Casualty	4/5/2016
Active	American Fire and Casualty Company	300567	Agent - Property	4/5/2016
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	4/20/2017	11/17/2022
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	4/20/2017	11/17/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/5/2016	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/5/2016	10/13/2022
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	8/15/2017	1/14/2022
Inactive	Erie Insurance Company	300230	Agent - Casualty	8/15/2017	1/14/2022
Inactive	Erie Insurance Company	300230	Agent - Property	8/15/2017	1/14/2022
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	8/15/2017	1/14/2022
Inactive	Erie Insurance Exchange	300789	Agent - Property	8/15/2017	1/14/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/26/2020	1/14/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/26/2020	1/14/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/5/2016	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	4/5/2016	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/5/2016	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/5/2016	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/5/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Property	4/5/2016
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/5/2016
Active	Ohio Security Insurance Company	300622	Agent - Property	4/5/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/5/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/5/2016
Active	Peerless Insurance Company	301910	Agent - Casualty	4/5/2016
Active	Peerless Insurance Company	301910	Agent - Property	4/5/2016
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	5/19/2017	2/25/2022
Inactive	Selective Insurance Company of America	500018	Agent - Property	5/19/2017	2/25/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/19/2017	2/25/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	5/19/2017	2/25/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/19/2017	2/25/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/19/2017	2/25/2022
Active	West American Insurance Company	301112	Agent - Casualty	4/5/2016
Active	West American Insurance Company	301112	Agent - Property	4/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Higgins Insurance Inc.	399505	Agent - Life	1/21/2019	1/14/2022
Denied	Higgins Insurance Inc.	399505	Agent - Health
Inactive	Higgins Insurance Inc.	399505	Agent - Property	1/21/2019	1/19/2022
Inactive	Higgins Insurance Inc.	399505	Agent - Casualty	1/21/2019	1/19/2022