DEPARTMENT OF INSURANCE

Affiliations

Name	Forshee, Scott	DOIID	701042	NAIC NPN	13285005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/22/2011	9/1/2012
Inactive	Resident	Agent	Health	3/22/2011	9/1/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	5/11/2011	9/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/11/2011	9/1/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/15/2011	9/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/15/2011	9/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/25/2011	9/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/25/2011	9/1/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2011	9/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	4/12/2011	9/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	4/12/2011	9/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/15/2011	9/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/15/2011	9/1/2012
Inactive	Independent Order of Foresters	300743	Agent - Health	7/14/2011	9/1/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	7/14/2011	9/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/15/2011	9/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/15/2011	9/1/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/5/2011	11/14/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/23/2011	9/1/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Life	5/23/2011	9/1/2012
Inactive	Time Insurance Company	300683	Agent - Health	4/15/2011	9/1/2012
Inactive	Time Insurance Company	300683	Agent - Life	4/15/2011	9/1/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/5/2011	9/1/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/5/2011	9/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/11/2011	9/1/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/11/2011	9/1/2012