DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forster, Keith Michael	DOIID	1138258	NAIC NPN	18392598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/7/2021	7/31/2023
Inactive	Non Resident	Agent	Health	6/7/2021	7/31/2023
* 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	Accendo Insurance Company	300312	Agent - Life	7/23/2021	2/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/23/2021	2/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	6/10/2021	7/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	6/10/2021	7/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/27/2021	2/24/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/27/2021	2/24/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/27/2021	2/24/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/27/2021	2/24/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/23/2021	2/8/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/23/2021	2/8/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	6/29/2021	7/31/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2021	12/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	9/21/2021	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	9/21/2021	3/2/2023
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	6/10/2021	1/27/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	7/28/2021	8/18/2021
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/28/2021	8/18/2021