DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortenberry, David	DOIID	1366331	NAIC NPN	6402122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/8/2024		7/31/2026
Active	Non Resident	Agent	Property	10/8/2024		7/31/2026
Active	Non Resident	Agent	Life	10/8/2024		7/31/2026
Active	Non Resident	Agent	Health	10/8/2024		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	8/19/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	8/19/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	8/19/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	8/19/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	8/19/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Property	8/19/2025
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	8/19/2025
Active	Hanover Insurance Company (The)	300508	Agent - Property	8/19/2025
Active	Markel Insurance Company	301475	Agent - Health	10/31/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	8/19/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	8/19/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	10/31/2024
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property