DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forte, Brittany	DOIID	1006747	NAIC NPN	18891081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/12/2018	1/31/2022
Inactive	Resident	Agent	Life	9/7/2018	1/31/2022
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	4/5/2019	1/31/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/5/2019	1/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/25/2019	1/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/25/2019	1/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/25/2019	1/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/25/2019	1/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Health	4/3/2019	1/31/2022
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Life	4/3/2019	1/31/2022