DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Michelle Eileen	DOIID	304960	NAIC NPN	4683844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Health Maintenance Organization	6/17/1996	12/1/2000
Inactive	Resident	Agent	Health	2/5/1999	1/1/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/15/2011	4/14/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/15/2011	4/14/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	6/17/1996	12/1/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2011	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	4/20/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/18/2011	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/16/2006	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/15/2011	4/25/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/15/2005	11/19/2008
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	2/5/1999	9/5/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/26/2004	12/8/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/10/2012	1/1/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	8/23/2005	11/23/2010
Inactive	Superior Dental Care Inc.	300418	Agent - Health	12/12/2011	1/9/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/10/2012	1/1/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2004	1/1/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/24/2004	1/1/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/24/2004	1/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	3/22/2007	1/1/2015
Inactive	Lou Crawford & Assoc Inc.	398444	Agent - Health	12/5/2011	11/5/2012
Inactive	Sherrill D Morgan & Associates Inc.	398835	Agent - Health	3/25/2003	1/14/2005