DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forgacs Jr, Jozsef	DOIID	737642	NAIC NPN	15948396

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/20/2010	5/31/2017
Inactive	Non Resident	Agent	Life	9/20/2010	5/31/2017
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	9/11/2014	5/28/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/11/2014	5/28/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/11/2014	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/11/2014	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/11/2014	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/11/2014	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/11/2014	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/11/2014	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/8/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/11/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/11/2014	5/28/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/16/2015	5/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/16/2015	5/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/16/2015	5/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/16/2015	5/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Health	3/10/2014	5/20/2014
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Life	3/10/2014	5/20/2014