DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forrester, Michael H	DOIID	349538	NAIC NPN	550406

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/24/1989	8/31/2004
Inactive	Non Resident	Agent	Life	7/24/1989	8/31/2004
* 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	Centre Life Insurance Company	300341	Agent - Health	7/23/1991	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/17/1990	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/17/1990	3/31/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/7/1990	8/31/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/18/2000	8/31/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/18/2000	8/31/2004
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/24/1989	8/31/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/24/1989	8/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003