DEPARTMENT OF INSURANCE
Affiliations
NameForsythe & Associates Inc.DOIID400718NAIC NPN7222624
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/4/1993 3/31/2025
ActiveResidentAgentHealth6/4/1993 3/31/2025
ActiveResidentAgentProperty8/15/2000 3/31/2025
ActiveResidentAgentCasualty8/15/2000 3/31/2025
InactiveResidentAgentGeneral Lines10/23/19998/15/2000 
InactiveResidentAgentHealth Maintenance Organization2/7/19923/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdvantage Care, Inc.300998Agent - Health Maintenance Organization1/31/199512/1/2000
InactiveAetna Health Inc.300694Agent - Health6/4/199312/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health5/6/2019 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health5/6/2019 
ActiveAetna Life Insurance Company301140Agent - Life5/6/2019 
ActiveAll Savers Insurance Company301940Agent - Health4/11/2023 
ActiveAll Savers Insurance Company301940Agent - Life4/11/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Health12/17/1996 
ActiveAllianz Life Insurance Company of North America301791Agent - Life12/17/1996 
InactiveAmerican Economy Insurance Company300315Agent - Casualty4/29/20205/31/2022
InactiveAmerican Economy Insurance Company300315Agent - Property4/29/20205/31/2022
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/11/1994 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/11/1994 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/28/201412/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life8/28/201412/21/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/2001 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization2/7/19923/1/2001
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/1/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/4/1993 
ActiveAnthem Life Insurance Company301209Agent - Life6/4/1993 
ActiveArcadian Health Plan, Inc.728196Agent - Health12/1/2020 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/21/20009/20/2007
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/20009/20/2007
ActiveBanner Life Insurance Company301696Agent - Life8/2/2019 
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/20159/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/20159/24/2018
InactiveBristol West Insurance Company301655Agent - Casualty3/9/201111/1/2012
InactiveBristol West Insurance Company301655Agent - Property3/9/201111/1/2012
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/11/2016 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/11/2016 
InactiveCMD Health, Inc.702047Agent - Health6/19/20123/31/2013
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20009/20/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines8/10/20008/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20009/20/2007
ActiveCigna National Health Insurance Company300235Agent - Health8/19/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health3/9/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life3/9/2016 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/12/20118/7/2018
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/12/20118/7/2018
InactiveCombined Insurance Company of America301472Agent - Health11/26/20131/11/2022
InactiveCompBenefits Dental, Inc.591692Agent - Health7/28/20093/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health4/5/2021 
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Insurance Company301202Agent - Life6/15/199910/3/2003
InactiveCumberland Surety Insurance Company Inc.300112Agent - General Lines10/23/19998/15/2000
InactiveDearborn Life Insurance Company300401Agent - Health12/30/200912/19/2011
InactiveDearborn Life Insurance Company300401Agent - Life12/30/200912/19/2011
ActiveDental Concern Inc. (The)301641Agent - Health2/4/2021 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/19/19983/10/2009
InactiveFirst Mutual Insurance Company301258Agent - General Lines12/2/19998/15/2000
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/11/200911/1/2012
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/11/200911/1/2012
ActiveGerber Life Insurance Company300529Agent - Health10/3/2018 
ActiveGerber Life Insurance Company300529Agent - Life10/3/2018 
InactiveGolden Rule Insurance Company301943Agent - Health11/7/200511/14/2007
InactiveGolden Rule Insurance Company301943Agent - Life11/7/200511/14/2007
InactiveGreat American Insurance Company301586Agent - Casualty8/15/20004/6/2005
InactiveGreat American Insurance Company301586Agent - General Lines3/31/20008/15/2000
InactiveGreat American Insurance Company301586Agent - Property8/15/20004/6/2005
ActiveGuardian Life Insurance Company of America301316Agent - Health4/10/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/10/2015 
InactiveHallmark National Insurance Company300494Agent - Casualty7/31/201311/14/2017
InactiveHallmark National Insurance Company300494Agent - Property7/31/201311/14/2017
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/15/20003/14/2006
InactiveHartford Accident and Indemnity Company301917Agent - General Lines5/8/20008/15/2000
InactiveHartford Accident and Indemnity Company301917Agent - Property8/15/20003/14/2006
InactiveHartford Casualty Insurance Company301332Agent - Casualty8/15/20003/14/2006
InactiveHartford Casualty Insurance Company301332Agent - General Lines5/8/20008/15/2000
InactiveHartford Casualty Insurance Company301332Agent - Property8/15/20003/14/2006
InactiveHartford Fire Insurance Company300628Agent - Casualty8/15/20003/14/2006
InactiveHartford Fire Insurance Company300628Agent - General Lines5/8/20008/15/2000
InactiveHartford Fire Insurance Company300628Agent - Property8/15/20003/14/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty8/15/20003/14/2006
InactiveHartford Insurance Company of the Midwest301918Agent - General Lines5/8/20008/15/2000
InactiveHartford Insurance Company of the Midwest301918Agent - Property8/15/20003/14/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health10/13/20096/8/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life10/13/20096/8/2017
InactiveHartford Underwriters Insurance Company301064Agent - Casualty8/15/20003/14/2006
InactiveHartford Underwriters Insurance Company301064Agent - General Lines5/8/20008/15/2000
InactiveHartford Underwriters Insurance Company301064Agent - Property8/15/20003/14/2006
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/8/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health4/8/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/30/19983/1/2001
ActiveHumana Insurance Company301104Agent - Health3/31/1997 
ActiveHumana Insurance Company301104Agent - Life3/31/1997 
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/30/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/8/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/8/2021 
InactiveHumanaDental Insurance Company301457Agent - Health10/18/20015/13/2013
InactiveInter-State Assurance Company301556Agent - Life9/10/19982/14/2002
InactiveJackson National Life Insurance Company300486Agent - Health3/10/19972/18/2003
InactiveJackson National Life Insurance Company300486Agent - Life3/10/19974/26/2001
InactiveJohn Alden Life Insurance Company300573Agent - Health11/6/200011/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life11/6/200011/7/2002
InactiveKanawha Insurance Company300127Agent - Health4/20/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/28/201010/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/7/201310/29/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/19985/10/2004
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/19985/10/2004
ActiveLife Insurance Company of North America300711Agent - Health5/5/2020 
ActiveLife Insurance Company of North America300711Agent - Life5/5/2020 
InactiveLifeUSA Insurance Company300386Agent - Health12/17/199612/21/1998
InactiveLifeUSA Insurance Company300386Agent - Life12/17/199612/21/1998
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/2/2008 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/2/2008 
InactiveMedAmerica Insurance Company301568Agent - Health1/27/20053/9/2009
InactiveMedical Life Insurance Company300693Agent - Health5/8/199612/31/2004
InactiveMedical Life Insurance Company300693Agent - Life5/8/199612/31/2004
InactiveMedico Corp Life Insurance Company301777Agent - Health9/19/201411/16/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life9/19/201411/16/2016
InactiveMedico Insurance Company301559Agent - Health9/19/201411/16/2016
InactiveMedico Insurance Company301559Agent - Life9/19/201411/16/2016
ActiveMetropolitan Life Insurance Company301948Agent - Health9/15/2004 
ActiveMetropolitan Life Insurance Company301948Agent - Life9/15/2004 
InactiveMidland Life Insurance Company (The)300310Agent - Health6/1/19943/12/2002
InactiveMidland Life Insurance Company (The)300310Agent - Life6/1/19943/12/2002
ActiveMutual of Omaha Insurance Company301012Agent - Health10/21/2021 
InactiveNational Guardian Life Insurance Company300596Agent - Health6/16/19973/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life6/16/19973/31/1999
InactiveNorth American Company for Life and Health Insurance300291Agent - Health8/12/199610/18/2005
ActiveNorth American Company for Life and Health Insurance300291Agent - Life10/5/2022 
InactiveOmaha Insurance Company751908Agent - Health12/3/20131/23/2014
InactiveOmni Indemnity Company301456Agent - Casualty8/15/200010/20/2009
InactiveOmni Indemnity Company301456Agent - General Lines4/21/20008/15/2000
InactiveOmni Indemnity Company301456Agent - Property8/15/200010/20/2009
InactivePacifiCare Life and Health Insurance Company301304Agent - Health3/17/200811/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life3/17/20087/17/2012
DeniedPrincipal Life Insurance Company300129Agent - Health  
ActivePrincipal Life Insurance Company300129Agent - Life12/13/1994 
InactiveProgressive Max Insurance Company301034Agent - Casualty8/15/200012/28/2005
InactiveProgressive Max Insurance Company301034Agent - General Lines8/7/20008/15/2000
InactiveProgressive Max Insurance Company301034Agent - Property8/15/200012/28/2005
InactiveProgressive Northern Insurance Company301378Agent - Casualty8/15/20009/18/2007
InactiveProgressive Northern Insurance Company301378Agent - General Lines8/7/20008/15/2000
InactiveProgressive Northern Insurance Company301378Agent - Property8/15/20009/18/2007
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty8/15/200012/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines8/7/20008/15/2000
InactiveProgressive Northwestern Insurance Company300441Agent - Property8/15/200012/28/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/13/200211/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/13/200211/10/2004
InactiveReassure America Life Insurance Company300678Agent - Health3/12/20024/28/2003
InactiveReassure America Life Insurance Company300678Agent - Life3/12/20024/28/2003
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/29/20205/31/2022
InactiveSAFECO Insurance Company of America300159Agent - Property4/29/20205/31/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/29/20205/31/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/29/20205/31/2022
InactiveSecurity Life Insurance Company of America300936Agent - Health9/15/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life9/15/201612/31/2016
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/20009/20/2007
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines8/10/20008/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/20009/20/2007
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20009/20/2007
InactiveThe Phoenix Insurance Company301502Agent - General Lines8/10/20008/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20009/20/2007
InactiveTitan Indemnity Company300556Agent - Casualty3/3/20116/27/2017
InactiveTitan Indemnity Company300556Agent - Property3/3/20116/27/2017
InactiveTransamerica Life Insurance Company300571Agent - Health6/10/201911/10/2020
InactiveTransamerica Life Insurance Company300571Agent - Life6/10/201911/10/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/29/20119/29/2011
InactiveTransamerica Premier Life Insurance Company300558Agent - Life8/29/20119/29/2011
InactiveTravCo Insurance Company301828Agent - Casualty8/15/20009/20/2007
InactiveTravCo Insurance Company301828Agent - General Lines8/10/20008/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/20009/20/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20029/20/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20029/20/2007
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20009/20/2007
InactiveTravelers Indemnity Company (The)301855Agent - General Lines8/10/20008/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20009/20/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20029/20/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20029/20/2007
ActiveTrexis Insurance Corporation599902Agent - Casualty1/13/2010 
ActiveTrexis One Insurance Corporation684197Agent - Casualty5/26/2010 
InactiveTrumbull Insurance Company300242Agent - Casualty8/15/20003/14/2006
InactiveTrumbull Insurance Company300242Agent - General Lines4/21/20008/15/2000
InactiveTrumbull Insurance Company300242Agent - Property8/15/20003/14/2006
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/15/20003/14/2006
InactiveTwin City Fire Insurance Company300721Agent - General Lines5/8/20008/15/2000
InactiveTwin City Fire Insurance Company300721Agent - Property8/15/20003/14/2006
InactiveUNUM Life Insurance Company of America300817Agent - Health11/13/200211/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life11/13/200211/10/2004
ActiveUnited World Life Insurance Company300532Agent - Health10/21/2021 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health10/21/2021 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life10/21/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/9/2005 
ActiveUnitedHealthcare Insurance Company300946Agent - Life12/9/2005 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health4/20/19943/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life4/20/19943/31/1997
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/29/2022 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization8/12/19983/1/2001
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/17/2021 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/2015 
InactiveVictoria Fire & Casualty Company300313Agent - Casualty2/8/20086/27/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property2/8/20086/27/2017
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/8/202012/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/8/202012/30/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/2/199212/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/2/199212/31/2001
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
DeniedForsythe, James Leroy 393881Agent - Casualty  
InactiveForsythe, James Leroy 393881Agent - General Lines10/23/19998/15/2000
ActiveForsythe, James Leroy 393881Agent - Health6/4/1993 
ActiveForsythe, James Leroy 393881Agent - Life12/6/2000 
DeniedForsythe, James Leroy 393881Agent - Property  
ActiveForsythe, Tammy Lee 347622Agent - Casualty5/9/2008 
ActiveForsythe, Tammy Lee 347622Agent - Health3/1/2001 
InactiveForsythe, Tammy Lee 347622Agent - Health Maintenance Organization2/7/19923/1/2001
ActiveForsythe, Tammy Lee 347622Agent - Life3/1/2001 
ActiveForsythe, Tammy Lee 347622Agent - Property5/9/2008 
InactiveMedlink Inc400721Agent - Health11/23/199812/31/2001
InactiveMedlink Inc400721Agent - Life11/23/199812/31/2001
InactiveTillett, Shelly Jean 303576Agent - General Lines10/23/19998/15/2000

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