DEPARTMENT OF INSURANCE

Name	Forsythe Jr, James Leroy	DOIID	393881	NAIC NPN	522477

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/28/1985		4/30/2027
Active	Resident	Agent	Health	1/28/1985		4/30/2027
Active	Resident	Agent	Casualty	8/15/2000		4/30/2027
Active	Resident	Agent	Property	8/15/2000		4/30/2027
Inactive	Resident	Agent	General Lines	3/27/1996	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	12/6/1985	3/1/2001
Inactive	Resident	Agent	Assessment Chapter 299	12/8/1999	12/1/2000

*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	02/15/2025	04/30/2025	12/02/2024	12/02/2024	Yes

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	422 Emerson Drive Lexington, KY 40505
Residence	Not Public Information

Internet Information

Type	Address
Business Email	forsytheins@forsytheins.com

Phone Information

Type	Phone
Business / Home Office	(859) 268-1571