DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsythe, Kimberly Taylor	DOIID	914994	NAIC NPN	17932531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/10/2016		2/28/2025
Active	Non Resident	Agent	Property	5/10/2016		2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/1/2016	3/20/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/1/2016	3/20/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/19/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/19/2018
Active	National General Insurance Company	300152	Agent - Casualty	12/7/2018
Active	National General Insurance Company	300152	Agent - Property	12/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	12/17/2018
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	12/17/2018
Inactive	CWI, LLC	662170	Agent - Property	12/17/2018	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	12/17/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	12/17/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	12/17/2018	4/29/2024
Active	National General Ins Marketing Inc	621228	Agent - Property	12/17/2018
Active	National General Ins Marketing Inc	621228	Agent - Casualty	12/17/2018