DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pollen, Moriah	DOIID	1193989	NAIC NPN	20255904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/17/2022		11/30/2025
Active	Non Resident	Agent	Health	3/17/2022		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/2/2022	3/15/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/2/2022	3/15/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/2/2022	3/15/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/2/2022	3/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/18/2022	3/15/2023
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/18/2022	3/15/2023