DEPARTMENT OF INSURANCE

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		11/30/2024
Denied	Resident	Agent	Health
* 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	09/15/2024	11/30/2024

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