DEPARTMENT OF INSURANCE

Affiliations

Name	Forst Jr, Edward	DOIID	390942	NAIC NPN	379189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	1/29/2004	10/31/2025
Active	Non Resident	Agent	Health	1/29/2004	10/31/2025
Active	Non Resident	Agent	Life	1/29/2004	10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/12/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	8/12/2020
Active	American General Life Insurance Company	301585	Agent - Health	1/30/2025
Active	American General Life Insurance Company	301585	Agent - Life	1/30/2025
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	1/30/2025
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	1/29/2004	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/29/2004	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Variable Life and Variable Annuities	1/29/2004	9/19/2005
Active	Amica Life Insurance Company	301676	Agent - Life	11/14/2023
Active	CMFG Life Insurance Company	300929	Agent - Health	2/15/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	2/15/2019
Active	CMFG Life Insurance Company	300929	Agent - Variable Life and Variable Annuities	2/15/2019
Active	Columbus Life Insurance Company	301227	Agent - Life	6/1/2012
Active	Columbus Life Insurance Company	301227	Agent - Variable Life and Variable Annuities	2/26/2013
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/29/2004	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/29/2004	12/23/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/13/2007	4/22/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/13/2007	4/22/2009
Active	Integrity Life Insurance Company	301687	Agent - Life	12/31/2012
Active	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	12/31/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/29/2004	3/23/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/29/2004	3/23/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	1/29/2004	3/23/2005
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/29/2004
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/29/2004
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	1/29/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/29/2004	5/29/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	1/29/2004	5/29/2010
Active	Pacific Life Insurance Company	301848	Agent - Life	1/29/2004
Active	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	1/29/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/29/2004	12/9/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/29/2004	12/9/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/29/2004	12/19/2008
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Life	7/31/2024
Inactive	Security Benefit Life Insurance Company	300583	Agent - Health	1/29/2004	11/13/2018
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	1/29/2004	11/13/2018
Inactive	Security Benefit Life Insurance Company	300583	Agent - Variable Life and Variable Annuities	1/29/2004	11/13/2018
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	7/11/2002	10/1/2003
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2004
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	1/29/2004
Inactive	Union Security Insurance Company	301844	Agent - Variable Life and Variable Annuities	5/21/2001	11/25/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	1/29/2004	11/30/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	1/29/2004	11/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Lincoln Investment Planning, LLC	400826	Agent - Life	3/12/2004
Active	Lincoln Investment Planning, LLC	400826	Agent - Health	3/12/2004
Active	Lincoln Investment Planning, LLC	400826	Agent - Variable Life and Variable Annuities	9/14/2009