DEPARTMENT OF INSURANCE

Name	Moyen, Tina Dianne	DOIID	768736	NAIC NPN	16462539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Casualty	1/6/2012		1/31/2025
Active	Resident	Agent	Property	1/6/2012		1/31/2025
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/1/2013	9/13/2013
Active	Resident	Staff Adjuster	Property & Casualty	9/13/2013		1/31/2025	Kentucky

*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	11/15/2024	01/31/2025
Staff Adjuster	11/15/2024	01/31/2025

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
Residence	Not Public Information
Business / Home Office	Kentucky Farm Bureau Mutual Insurance Co. 9201 Bunsen Pky P.O. Box 20700Louisville, KY 40250

Internet Information

Type	Address
Business Email	tina.moyen@kyfb.com

Phone Information

Type	Phone
Business / Home Office	(502) 495-5000 Ext-5110