DEPARTMENT OF INSURANCE

Name	Moessner, Deborah Louise	DOIID	380980	NAIC NPN	1480977

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	10/9/2014	10/23/2017
Inactive	Resident	Agent	Life	3/19/1993	10/1/2018
Inactive	Resident	Agent	Health Maintenance Organization	11/11/1991	3/1/2001
Inactive	Resident	Agent	Health	3/19/1993	10/1/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Anthem Blue Cross Blue Shield 13550 Triton Park BlvdLouisville, KY 40223
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 889-2111