DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Dennis	DOIID	302305	NAIC NPN	1127718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/20/1981	12/1/2000
Inactive	Resident	Agent	Life	5/20/1981	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/9/1986	7/14/1997
* 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	Colorado Bankers Life Insurance Company	301845	Agent - Health	12/21/1992	3/31/1995
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	12/21/1992	3/31/1995
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/5/1994	12/1/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/5/1994	12/1/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/9/1986	7/14/1997
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/7/1993	12/1/2000
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	9/23/1993	3/31/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	9/23/1993	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/20/1981	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/20/1981	12/1/2000
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	2/6/1995	12/30/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	2/6/1995	12/30/1998
Inactive	Time Insurance Company	300683	Agent - Health	1/18/1996	11/20/1998
Inactive	Time Insurance Company	300683	Agent - Life	1/18/1996	11/20/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Kentucky Financial Group Inc.	400432	Agent - Life	10/8/1993	12/1/2000
Inactive	Kentucky Financial Group Inc.	400432	Agent - Health	10/8/1993	12/1/2000
Inactive	Preferred Product Network, Inc.	399668	Agent - Life	2/25/1986	12/1/2000
Inactive	Preferred Product Network, Inc.	399668	Agent - Health	2/25/1986	12/1/2000