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DEPARTMENT OF INSURANCE
Affiliations
Name
Forrest, Jana M
DOIID
611744
NAIC NPN
2944680
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
7/12/2005
2/28/2015
Inactive
Non Resident
Agent
Casualty
7/12/2005
2/28/2015
* 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
Atlantic Specialty Insurance Company
518595
Agent - Casualty
9/10/2014
2/28/2015
Inactive
Atlantic Specialty Insurance Company
518595
Agent - Property
9/10/2014
2/28/2015
Inactive
Capitol Indemnity Corporation
301030
Agent - Casualty
4/12/2011
3/13/2012
Inactive
Capitol Indemnity Corporation
301030
Agent - Property
4/12/2011
3/13/2012
Inactive
Colonial American Casualty & Surety Company
300769
Agent - Casualty
3/15/2006
9/30/2014
Inactive
Colonial American Casualty & Surety Company
300769
Agent - Property
3/15/2006
9/30/2014
Inactive
Fidelity and Deposit Company of Maryland
300976
Agent - Casualty
3/15/2006
9/30/2014
Inactive
Fidelity and Deposit Company of Maryland
300976
Agent - Property
3/15/2006
9/30/2014
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
11/20/2012
2/28/2015
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
11/20/2012
2/28/2015
Inactive
Foremost Property and Casualty Insurance Company
300871
Agent - Casualty
11/20/2012
2/28/2015
Inactive
Foremost Property and Casualty Insurance Company
300871
Agent - Property
11/20/2012
2/28/2015
Inactive
Foremost Signature Insurance Company
300140
Agent - Casualty
11/20/2012
2/28/2015
Inactive
Foremost Signature Insurance Company
300140
Agent - Property
11/20/2012
2/28/2015
Inactive
Merchants Bonding Company (Mutual)
300170
Agent - Casualty
1/5/2006
10/5/2012
Inactive
Platte River Insurance Company
301089
Agent - Casualty
4/12/2011
3/13/2012
Inactive
Platte River Insurance Company
301089
Agent - Property
4/12/2011
3/13/2012
Inactive
Zurich American Insurance Company
301121
Agent - Casualty
10/9/2013
2/28/2015
Inactive
Zurich American Insurance Company
301121
Agent - Property
10/9/2013
2/28/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
IMA Inc
766098
Agent - Property
1/12/2012
9/26/2014
Inactive
IMA Inc
766098
Agent - Casualty
1/12/2012
9/26/2014
Inactive
Ima Of Kansas Inc
583037
Agent - Property
3/30/2006
1/24/2012
Inactive
Ima Of Kansas Inc
583037
Agent - Casualty
3/30/2006
1/24/2012
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