DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Booth, Theodore Michael	DOIID	928512	NAIC NPN	17627060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/9/2016	4/30/2023
Inactive	Non Resident	Agent	Casualty	9/9/2016	4/30/2023
* 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	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	1/24/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	1/24/2023
Inactive	LM General Insurance Company	300133	Agent - Casualty	10/5/2016	11/11/2022
Inactive	LM General Insurance Company	300133	Agent - Property	10/5/2016	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/3/2016	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/3/2016	11/11/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/19/2016	1/24/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/19/2016	1/24/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/19/2016	1/24/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/19/2016	1/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	9/19/2016	1/9/2023
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	9/19/2016	1/9/2023