DEPARTMENT OF INSURANCE

Affiliations

Name	Forcht, Theodore B	DOIID	331129	NAIC NPN	7178164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	5/31/2006
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2006
Inactive	Resident	Agent	Health	9/8/1987	5/31/2006
Inactive	Resident	Agent	Life	9/8/1987	5/31/2006
Inactive	Resident	Agent	General Lines	6/1/1984	8/15/2000
* 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	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	7/25/2003
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	7/9/1999	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	7/25/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/21/1998	1/10/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/21/1998	1/10/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/12/1996	11/4/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/12/1996	11/4/2002
Inactive	American National Insurance Company	301861	Agent - Health	5/20/1998	5/31/2006
Inactive	American National Insurance Company	301861	Agent - Life	5/20/1998	5/31/2006
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	5/31/2006
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	6/8/1995	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	5/31/2006
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/4/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/4/2001
Inactive	Assurance Company of America	300432	Agent - Casualty	10/21/2002	5/31/2006
Inactive	Assurance Company of America	300432	Agent - Property	10/21/2002	5/31/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	9/8/1987	4/8/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	9/8/1987	4/8/2003
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	9/10/2001	6/15/2005
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/10/2001	6/15/2005
Inactive	First National Insurance Company of America	301690	Agent - General Lines	4/27/1993	3/31/1996
Inactive	General Insurance Company of America	300261	Agent - General Lines	4/27/1993	3/31/1996
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/21/2002	5/31/2006
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/21/2002	5/31/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/27/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/27/1995	3/31/1997
Inactive	Great American Insurance Company	301586	Agent - General Lines	3/31/1994	3/31/1996
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	3/31/1994	3/31/1996
Inactive	Humana Insurance Company	301104	Agent - Health	6/10/1997	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	6/10/1997	3/2/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	4/14/1998	5/31/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	4/14/1998	5/31/2006
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	5/31/2006
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/1/1984	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	5/31/2006
Inactive	Lyndon Southern Insurance Company	609602	Agent - Casualty	10/4/2005	5/31/2006
Inactive	Lyndon Southern Insurance Company	609602	Agent - Property	10/4/2005	5/31/2006
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/21/2002	5/31/2006
Inactive	Maryland Casualty Company	301719	Agent - Property	10/21/2002	5/31/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	5/13/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	5/5/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	5/13/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/9/1993	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/9/1993	3/31/1999
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/21/2002	5/31/2006
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/21/2002	5/31/2006
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Casualty	8/15/2000	5/31/2006
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - General Lines	11/17/1993	8/15/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Property	8/15/2000	5/31/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	4/27/1993	3/31/1996
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	4/27/1993	3/31/1996
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	4/27/1993	3/31/1996
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	6/6/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Health	6/23/1993	12/4/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	6/23/1993	12/4/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Insurance Agency	398469	Agent - Life	2/22/2002	5/31/2006
Inactive	Forcht Insurance Agency	398469	Agent - Health	2/22/2002	5/31/2006
Inactive	Forcht Insurance Agency	398469	Agent - General Lines	7/11/1984	8/15/2000
Inactive	Forcht Insurance Agency	398469	Agent - Property	8/15/2000	5/31/2006
Inactive	Forcht Insurance Agency	398469	Agent - Casualty	8/15/2000	5/31/2006