DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moon, Samuel John	DOIID	958059	NAIC NPN	18448957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/26/2017		9/30/2025
Active	Resident	Agent	Health	8/1/2017		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American National Insurance Company	301861	Agent - Life	1/22/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/8/2021	12/12/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/8/2021	12/12/2024
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/17/2020	1/18/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/1/2017	2/21/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/1/2017	2/21/2019
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/15/2020	12/19/2022
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	8/15/2019
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	8/15/2019
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	4/9/2020	6/15/2022
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	4/20/2022
Active	Madison National Life Insurance Company Inc.	301458	Agent - Life	4/20/2022
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	6/5/2018
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	6/5/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/7/2022	5/22/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/7/2022	5/22/2023
Active	Washington National Insurance Company	300587	Agent - Health	5/10/2018
Active	Washington National Insurance Company	300587	Agent - Life	5/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	2/4/2022	3/18/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	2/4/2022	3/18/2022