DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsaith, Debra S	DOIID	338194	NAIC NPN	302053

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/1/2023		5/31/2027
Active	Non Resident	Agent	Property	3/1/2023		5/31/2027
Inactive	Non Resident	Agent	General Lines	3/23/1999	8/15/2000
* 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	03/15/2025	05/31/2025	03/05/2025	03/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	8/15/2000	10/4/2011
Inactive	21st Century North America Insurance Company	300884	Agent - General Lines	4/6/2000	8/15/2000
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/15/2000	10/4/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insurance Strategies Inc	1320431	Agent - Property	1/23/2024
Active	Insurance Strategies Inc	1320431	Agent - Casualty	1/23/2024
Inactive	U S Bancorp Ins Services L L C	400253	Agent - General Lines	4/6/2000	8/15/2000
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Property	8/15/2000	2/24/2003
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Casualty	8/15/2000	2/24/2003