DEPARTMENT OF INSURANCE

Affiliations

Name	Forrester, James Herman	DOIID	330355	NAIC NPN	7142742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	8/15/2000	7/1/2010
Inactive	Resident	Agent	Health	10/6/2003	4/27/2006
Inactive	Resident	Agent	Property	10/6/2003	4/30/2006
Inactive	Resident	Agent	Casualty	10/6/2003	4/30/2006
Inactive	Resident	Agent	Life	10/6/2003	4/27/2006
Inactive	Resident	Agent	Variable Life and Variable Annuities	10/6/2003	4/27/2006
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	7/20/1999	7/20/2000
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	10/6/2003	1/15/2004
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Variable Life and Variable Annuities	12/22/2003	4/8/2005
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	10/6/2003	1/15/2004
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	10/6/2003	1/15/2004
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Variable Life and Variable Annuities	12/22/2003	1/15/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/23/2003	12/17/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/23/2003	12/17/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/6/2003	2/13/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/6/2003	2/13/2006
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/6/2003	2/13/2006
Inactive	State Farm General Insurance Company	301122	Agent - Property	10/6/2003	2/13/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/6/2003	2/13/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto-Owners Insurance Company	301480	Adjuster - Independent	5/7/2004	7/1/2010
Active	Auto-Owners Insurance Company	301480	Staff Adjuster - Property & Casualty	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	8/15/2000	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Staff Adjuster - Property & Casualty	7/1/2010	3/10/2014