DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moss, Kirby P	DOIID	1043884	NAIC NPN	6858687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Crop	6/13/2019		5/31/2026
Active	Non Resident	Agent	Casualty	6/13/2019		5/31/2026
Active	Non Resident	Agent	Life	6/13/2019		5/31/2026
Active	Non Resident	Agent	Health	6/13/2019		5/31/2026
Active	Non Resident	Agent	Property	6/13/2019		5/31/2026
Active	Non Resident	Agent	Personal Lines	6/13/2019		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/10/2023	4/1/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	6/9/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/9/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2023	4/1/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2023	4/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Casualty	10/28/2024
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Denied	Gallagher Benefit Services Inc	525782	Agent - Health
Active	Gallagher Benefit Services Inc	525782	Agent - Property	10/28/2024