DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Foreman Funeral Home Inc.	DOIID	398452	NAIC NPN	7220903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/11/1994	3/20/2014
* 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	Forethought Life Insurance Company	301407	Agent - Life	2/11/1994	8/10/2004
Inactive	IA American Life Insurance Company	301149	Agent - Life	10/26/1998	8/16/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/25/1998	3/20/2014
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	6/27/2006	4/28/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	10/25/1999	9/13/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foreman, Clay Shields	355164	Agent - Life	2/11/1994	3/20/2014
Inactive	Stamper, Nancy C	305539	Agent - Life	1/7/2004	7/1/2006