DEPARTMENT OF INSURANCE

Affiliations

Name	Forschen, Debra R	DOIID	670595	NAIC NPN	6976000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/18/2007	10/31/2019
Inactive	Non Resident	Agent	Property	12/18/2007	10/31/2019
Inactive	Non Resident	Agent	Casualty	12/18/2007	10/31/2019
Inactive	Non Resident	Agent	Life	12/18/2007	10/31/2019
* 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	12/8/2009	3/9/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	12/8/2009	3/9/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	3/6/2008	3/15/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	3/6/2008	3/15/2012
Inactive	American Security Insurance Company	300901	Agent - Casualty	5/12/2008	2/26/2013
Inactive	American Security Insurance Company	300901	Agent - Property	5/12/2008	2/26/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	5/20/2009	6/7/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	5/20/2009	6/7/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/8/2009	3/9/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/8/2009	3/9/2018
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/14/2008	3/29/2018
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/14/2008	3/29/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/11/2010	3/29/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/11/2010	3/29/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/18/2014	6/22/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	4/18/2014	6/22/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/29/2008	3/26/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/29/2008	3/26/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/15/2009	3/13/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/15/2009	3/13/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/17/2015	8/21/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/12/2008	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/12/2008	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/12/2008	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/12/2008	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/12/2008	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/12/2008	11/5/2008
Inactive	Homesite Insurance Company	301139	Agent - Casualty	10/27/2008	12/9/2010
Inactive	Homesite Insurance Company	301139	Agent - Property	10/27/2008	12/9/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/8/2009	3/9/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/8/2009	3/9/2018
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/29/2008	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/29/2008	12/30/2013
Inactive	Owners Insurance Company	300796	Agent - Casualty	5/20/2009	6/7/2018
Inactive	Owners Insurance Company	300796	Agent - Property	5/20/2009	6/7/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/8/2009	3/9/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/8/2009	3/9/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/12/2008	11/6/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/12/2008	11/6/2009
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	5/12/2008	5/17/2011
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	5/12/2008	5/17/2011
Inactive	Tesla Insurance Company	300337	Agent - Casualty	3/7/2008	3/13/2013
Inactive	Tesla Insurance Company	300337	Agent - Property	3/7/2008	3/13/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/12/2008	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/12/2008	11/5/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/21/2009	3/8/2018
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/21/2009	3/8/2018
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	10/21/2009	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	10/21/2009	12/2/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	6/27/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	6/27/2017

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 - Life	3/26/2008	3/15/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	3/26/2008	3/15/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	3/26/2008	3/8/2018
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	3/26/2008	3/8/2018