DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Funeral and Cremation Options, Inc.	DOIID	611385	NAIC NPN	8511315

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
* 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	4/6/2006	3/31/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	9/16/2005	1/9/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foreman, Clay Shields	355164	Agent - Life	2/19/2009	4/13/2009
Inactive	Heady, James Daniel	329933	Agent - Life	7/1/2005	3/31/2007