DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forbes, Duane	DOIID	1016241	NAIC NPN	18660807

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/23/2018		12/31/2024
Active	Non Resident	Agent	Health	10/23/2018		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/17/2020	8/14/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/23/2019	7/29/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/12/2019	12/14/2020
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/12/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/12/2024
Inactive	Federal Insurance Company	301144	Agent - Health	7/19/2019	11/1/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/5/2019	6/28/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/5/2019	6/28/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	2/10/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	2/10/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/20/2021	12/5/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/16/2020	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/28/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/21/2019	8/15/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	6/12/2024
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	6/12/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/5/2019	6/28/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/5/2019	6/28/2019