DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Foreman, Clay Shields	DOIID	355164	NAIC NPN	7193739

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/9/2015		11/30/2026
Denied	Resident	Agent	Health
* 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
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	2/12/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	2/10/1994	9/10/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/27/1998	12/1/2014
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	6/26/2006	4/28/2009
Inactive	Southland National Insurance Corporation	517954	Agent - Life	2/25/2010	12/28/2010
Inactive	Union Security Insurance Company	301844	Agent - Life	1/10/2001	7/21/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foreman Funeral Home Inc.	398452	Agent - Life	2/11/1994	3/20/2014
Inactive	Funeral and Cremation Options, Inc.	611385	Agent - Life	2/19/2009	4/13/2009