DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wright Group Inc	DOIID	734435	NAIC NPN	6758071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/13/2010	3/31/2016
Inactive	Non Resident	Agent	Life	8/13/2010	3/31/2016
Inactive	Non Resident	Agent	Property	8/13/2010	3/31/2016
Inactive	Non Resident	Agent	Casualty	8/13/2010	3/31/2016
* 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 General Life Insurance Company	301585	Agent - Life	9/26/2013	3/31/2016
Inactive	Employers Assurance Company	300120	Agent - Casualty	8/5/2011	3/31/2016
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	8/5/2011	3/31/2016
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/29/2011	10/9/2014
Inactive	Federal Insurance Company	301144	Agent - Property	3/29/2011	10/9/2014
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/24/2013	3/31/2016
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/24/2013	3/31/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/24/2010	5/13/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/24/2010	5/13/2015
Inactive	State Life Insurance Company	301497	Agent - Health	9/9/2013	3/31/2016
Inactive	State Life Insurance Company	301497	Agent - Life	9/9/2013	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forystek, Roger F.	308894	Agent - Casualty	8/13/2010	3/31/2016
Inactive	Forystek, Roger F.	308894	Agent - Health	8/13/2010	3/31/2016
Inactive	Forystek, Roger F.	308894	Agent - Life	8/13/2010	3/31/2016
Inactive	Forystek, Roger F.	308894	Agent - Property	8/13/2010	3/31/2016