DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Kenneth Michael	DOIID	986192	NAIC NPN	18631062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/2/2018	6/30/2019
Inactive	Non Resident	Agent	Property	3/2/2018	6/30/2019
* 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	AmTrust Insurance Company	300179	Agent - Casualty	3/2/2018	4/23/2018
Inactive	AmTrust Insurance Company	300179	Agent - Property	3/2/2018	4/23/2018
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/7/2018	5/28/2018
Inactive	Homesite Insurance Company	301139	Agent - Property	5/7/2018	5/28/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/7/2018	5/28/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/7/2018	5/28/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	3/2/2018	4/23/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	3/2/2018	4/23/2018
Inactive	Security National Insurance Company	301151	Agent - Casualty	3/2/2018	4/23/2018
Inactive	Security National Insurance Company	301151	Agent - Property	3/2/2018	4/23/2018
Inactive	Technology Insurance Company	613278	Agent - Casualty	3/2/2018	4/23/2018
Inactive	Technology Insurance Company	613278	Agent - Property	3/2/2018	4/23/2018
Inactive	Wesco Insurance Company	300534	Agent - Casualty	3/2/2018	4/23/2018
Inactive	Wesco Insurance Company	300534	Agent - Property	3/2/2018	4/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Suracy Insurance Agency, Inc	923753	Agent - Property	3/21/2018	4/23/2018
Inactive	Suracy Insurance Agency, Inc	923753	Agent - Casualty	3/21/2018	4/23/2018