DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forethought LLC	DOIID	968539	NAIC NPN	18542934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/8/2019	3/31/2021
Inactive	Resident	Agent	Health	7/8/2019	3/31/2021
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	5/29/2018	3/31/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/26/2017	3/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/26/2017	3/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/26/2017	3/31/2019
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/5/2018	3/31/2019
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/5/2018	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kyle, Jason	867693	Agent - Health	7/8/2019	3/31/2021
Inactive	Kyle, Jason	867693	Agent - Life	7/8/2019	3/31/2021