DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Avain Donnell	DOIID	937651	NAIC NPN	15662717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/18/2016	11/30/2025
Active	Non Resident	Agent	Life	11/18/2016	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/18/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/18/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	4/18/2018
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/17/2018	12/14/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/17/2018	12/14/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/14/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/14/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/18/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/2/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/2/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/13/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/15/2018
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/15/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	Starmount Life Insurance Company	628031	Agent - Health	10/13/2023
Active	Trustmark Insurance Company	300317	Agent - Health	1/8/2017
Active	Trustmark Insurance Company	300317	Agent - Life	1/8/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2023
Active	Unum Insurance Company	301499	Agent - Health	10/13/2023
Active	Unum Insurance Company	301499	Agent - Life	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	8/14/2018
Active	Optavise, LLC	671337	Agent - Health	8/14/2018