DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Barnett-Strother Funeral Home LLC	DOIID	748555	NAIC NPN	16155726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/8/2022	3/31/2023
* 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	Forethought Life Insurance Company	301407	Agent - Life	4/8/2021	10/1/2022
Inactive	Great Western Insurance Company	501693	Agent - Life	3/27/2014	10/1/2022
Inactive	Homesteaders Life Company	300836	Agent - Life	2/21/2011	9/28/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bennett, Sarah Elizabeth	621561	Agent - Life	2/21/2011	10/1/2011
Inactive	Clark, Richard Nicholas	537548	Agent - Life	12/5/2011	8/1/2022
Inactive	Fortner, Terry Gene	587713	Agent - Life	11/8/2022	3/31/2023