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DEPARTMENT OF INSURANCE
Affiliations
Name
Forsbach, Raymond Gilbert
DOIID
788326
NAIC NPN
16732461
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
8/13/2012
6/10/2014
Inactive
Non Resident
Agent
Property
8/13/2012
6/10/2014
* 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
Old Republic Insurance Company
301225
Agent - Property
9/14/2012
5/27/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Asurion Protection Services, LLC.
545067
Agent - Property
12/13/2012
5/27/2014
Denied
Asurion Protection Services, LLC.
545067
Agent - Casualty
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