DEPARTMENT OF INSURANCE

Affiliations

Name	McDole, Forrest J	DOIID	699894	NAIC NPN	8923017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/17/2009	12/21/2016
Inactive	Non Resident	Agent	Life	2/17/2009	12/21/2016
* 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	American Memorial Life Insurance Company	301445	Agent - Life	10/5/2012	10/23/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/15/2013	12/18/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/23/2015	12/21/2016
Inactive	CSI Life Insurance Company	596032	Agent - Health	12/1/2015	3/3/2017
Inactive	CSI Life Insurance Company	596032	Agent - Life	5/15/2013	6/4/2013
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	1/8/2016	3/3/2017
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/16/2010	9/2/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/15/2012	12/21/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/5/2013	5/20/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/5/2013	5/20/2014
Inactive	Family Life Insurance Company	300356	Agent - Health	8/27/2009	12/28/2012
Inactive	Family Life Insurance Company	300356	Agent - Life	8/27/2009	12/28/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/17/2015	12/21/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/24/2009	6/24/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2013	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/17/2013	5/20/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	7/15/2010	3/9/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2013	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2013	5/20/2014
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/29/2011	12/26/2012
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	2/22/2016	2/21/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/9/2015	10/6/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	2/10/2015	10/6/2016
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	2/28/2011	10/15/2013
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	2/28/2011	10/15/2013
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	12/16/2009	10/20/2010
Inactive	Puritan Life Insurance Company of America	301892	Agent - Life	12/16/2009	10/20/2010
Inactive	SILAC Insurance Company	300535	Agent - Health	4/8/2013	12/8/2015
Inactive	SILAC Insurance Company	300535	Agent - Life	4/8/2013	12/8/2015
Inactive	Standard Life and Casualty Insurance Company	301699	Agent - Health	9/19/2014	12/21/2016
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	2/19/2013	2/24/2014
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	8/24/2009	12/28/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/10/2011	7/29/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/13/2011	7/19/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/13/2011	7/19/2012
Inactive	United Home Life Insurance Company	300421	Agent - Life	2/22/2012	10/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/3/2015	10/6/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/3/2015	10/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Health And Wealth Management	805971	Agent - Health	3/16/2013	12/21/2016
Inactive	Senior Health And Wealth Management	805971	Agent - Life	3/16/2013	12/21/2016
Inactive	Senior Security LLC	707587	Agent - Health	3/4/2010	12/21/2016
Inactive	Senior Security LLC	707587	Agent - Life	3/16/2010	12/21/2016