DEPARTMENT OF INSURANCE

Affiliations

Name	Forstner, Steven Eugene	DOIID	625282	NAIC NPN	7319994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/29/2007	11/30/2015
Inactive	Non Resident	Agent	Casualty	2/21/2006	11/30/2015
Inactive	Non Resident	Agent	Life	3/29/2007	11/30/2015
Inactive	Non Resident	Agent	Property	2/21/2006	11/30/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/30/2007	5/21/2009
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/24/2007	2/6/2014
Inactive	ACE American Insurance Company	300625	Agent - Property	7/24/2007	2/6/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/6/2007	2/6/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/6/2007	2/6/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/6/2007	2/6/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/6/2007	2/6/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/3/2007	11/30/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/3/2007	11/30/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	9/14/2007	3/15/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	9/14/2007	3/15/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	3/13/2012	11/30/2015
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/6/2007	2/6/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/6/2007	2/6/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	2/19/2008	11/30/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	2/19/2008	11/30/2015
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/24/2008	2/10/2014
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/24/2008	2/10/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/10/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/10/2007	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/10/2007	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/10/2007	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/10/2007	11/5/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/6/2007	2/6/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/6/2007	2/6/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	2/19/2008	11/30/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	2/19/2008	11/30/2015
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/26/2007	2/6/2008
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	7/26/2007	2/6/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	2/19/2008	11/30/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	2/19/2008	11/30/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/3/2007	11/30/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/3/2007	11/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/3/2007	11/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/3/2007	11/30/2015
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/6/2007	2/6/2014
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/6/2007	2/6/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	2/19/2008	11/30/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	2/19/2008	11/30/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	2/19/2008	11/30/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	2/19/2008	11/30/2015
Inactive	RLI Insurance Company	301217	Agent - Casualty	9/1/2009	2/6/2014
Inactive	RLI Insurance Company	301217	Agent - Property	9/1/2009	2/6/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/10/2007	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/10/2007	11/5/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/10/2007	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/10/2007	11/5/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/7/2007	2/17/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	11/7/2007	2/17/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	10/3/2007	11/30/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/3/2007	11/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	9/26/2007	1/13/2014
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	9/26/2007	1/13/2014
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	9/14/2007	3/15/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	8/6/2009	3/15/2012