DEPARTMENT OF INSURANCE
Affiliations
NameForbis, Jimmy ShannonDOIID519412NAIC NPN1021537
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities4/28/2010 1/31/2026
ActiveNon ResidentAgentHealth4/21/2010 1/31/2026
ActiveNon ResidentAgentLife4/21/2010 1/31/2026
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life7/27/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/27/2020 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life6/19/200112/7/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities6/19/200112/7/2004
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/6/20011/31/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/6/20011/31/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/6/20011/31/2010
InactiveMidland National Life Insurance Company300923Agent - Health4/21/20101/2/2013
InactiveMidland National Life Insurance Company300923Agent - Life4/21/201012/20/2012
InactiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities4/29/20101/2/2013
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Health12/18/20001/31/2010
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Life12/18/20001/31/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/12/200712/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/12/200712/30/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/2/20107/17/2019
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/2/20107/17/2019
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/2/20107/17/2019
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/2/20107/17/2019
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/2/20107/17/2019
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/2/20107/17/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health6/12/200712/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life6/12/200712/30/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Life2/2/20011/31/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities5/31/20011/31/2010
InactiveZurich American Life Insurance Company300216Agent - Life3/15/20011/31/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCFH Financial Services, Inc.591230Agent - Life4/29/20103/31/2020
InactiveCFH Financial Services, Inc.591230Agent - Health4/29/20103/31/2020
InactiveCFH Financial Services, Inc.591230Agent - Variable Life and Variable Annuities4/29/20103/31/2020
ActiveExecutive Ins Agency Inc400244Agent - Life10/29/2021 
DeniedExecutive Ins Agency Inc400244Agent - Health  
ActiveExecutive Ins Agency Inc400244Agent - Variable Life and Variable Annuities10/29/2021 
InactiveLincoln Investment Planning, LLC400826Agent - Life6/7/20127/17/2019
InactiveLincoln Investment Planning, LLC400826Agent - Health6/7/20127/17/2019
InactiveLincoln Investment Planning, LLC400826Agent - Variable Life and Variable Annuities6/7/20127/17/2019

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