DEPARTMENT OF INSURANCE

Name	Fornof, Troy Dean	DOIID	374133	NAIC NPN	371844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/13/2022		5/31/2026
Active	Non Resident	Agent	Casualty	3/28/2022		5/31/2026
Active	Non Resident	Agent	Property	3/28/2022		5/31/2026
Inactive	Non Resident	Agent	Health	8/12/2004	5/31/2008
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/28/2022		5/31/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	186 West Carmel Drive Noblesville, IN 46061
Business / Home Office	Arthur J. Gallagher Services Company 2400 E Commercial Blvd Ste 728Fort Lauderdale, FL 333084052
Residence	Not Public Information
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(954) 616-9944