DEPARTMENT OF INSURANCE

Affiliations

Name	Forbes, Sean Eric	DOIID	861332	NAIC NPN	17430430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	12/1/2014	1/31/2026
Active	Resident	Agent	Property	12/1/2014	1/31/2026
Active	Resident	Agent	Life	11/25/2014	1/31/2026
Active	Resident	Agent	Health	11/25/2014	1/31/2026
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/15/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/15/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/23/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/15/2015
Active	Bristol West Insurance Company	301655	Agent - Property	1/15/2015
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/22/2015
Active	Dairyland Insurance Company	301370	Agent - Property	1/22/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/15/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/15/2015
Inactive	Independence American Insurance Company	524747	Agent - Health	7/25/2019	12/21/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/10/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/10/2014
Active	Sean E Forbes Insurance LLC	1247198	Agent - Life	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Property	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Health	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Casualty	12/15/2022