DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moise, Adam Maxwell	DOIID	979202	NAIC NPN	13747720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/13/2017		6/30/2026
Active	Non Resident	Agent	Health	12/13/2017		6/30/2026
* 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	04/15/2024	06/30/2024	05/21/2024	05/21/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	7/1/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	7/1/2023
Active	Vision Service Plan Insurance Company	300526	Agent - Health	11/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Life
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Health