DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forbis, Cathy D	DOIID	512601	NAIC NPN	687912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/29/2001	9/1/2016
Inactive	Resident	Agent	Property	1/29/2001	9/1/2016
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/29/2001	10/26/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/29/2001	10/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Property	8/23/2006	10/26/2015
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Casualty	8/23/2006	10/26/2015
Inactive	Van Meter Insurance Inc.	514979	Agent - Property	4/11/2001	2/5/2007
Inactive	Van Meter Insurance Inc.	514979	Agent - Casualty	4/11/2001	2/5/2007