DEPARTMENT OF INSURANCE

Affiliations

Name	Forbes, Peter James	DOIID	324543	NAIC NPN	2892131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	6/30/2008
Inactive	Resident	Agent	Life	5/20/1999	6/30/2008
Inactive	Resident	Agent	Health	5/20/1999	6/30/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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 - Health	9/25/2006	6/30/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/25/2006	6/30/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	8/12/2006	6/30/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	8/12/2006	6/30/2008
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	8/12/2006	6/30/2008
Inactive	American Republic Insurance Company	300861	Agent - Health	8/9/2006	3/9/2007
Inactive	American Republic Insurance Company	300861	Agent - Life	8/9/2006	3/9/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/7/2005	6/30/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/7/2005	6/30/2008
Inactive	Continental Casualty Company	301019	Agent - Health	4/9/2001	2/19/2004
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	5/20/1999	11/10/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	5/20/1999	11/10/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/7/2000	12/29/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/9/2005	10/9/2006
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2006	10/9/2006
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2006	10/9/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/9/2005	10/9/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/9/2005	10/9/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/13/2006	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/13/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/2/2002	1/7/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	1/2/2002	1/7/2004
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	8/18/2006	3/9/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/6/2006	6/30/2008
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/28/2005	6/30/2008
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/28/2005	6/30/2008
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	3/9/2001	2/10/2004
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	6/27/2005	6/30/2008
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	6/27/2005	6/30/2008
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/7/2000	1/19/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/7/2000	1/19/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/30/2001	2/19/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/22/2002	1/31/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Health	3/11/2003	1/20/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Life	3/11/2003	1/20/2004
Inactive	United American Insurance Company	300910	Agent - Health	3/4/2003	7/15/2005
Inactive	United American Insurance Company	300910	Agent - Life	3/4/2003	7/15/2005
Inactive	United Investors Life Insurance Company	301873	Agent - Life	3/8/2004	7/15/2005
Inactive	United World Life Insurance Company	300532	Agent - Health	9/6/2006	6/30/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/6/2006	6/30/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/6/2006	6/30/2008
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/23/2005	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/23/2005	6/11/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/8/2005	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/2005	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	6/30/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	6/30/2008
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	10/2/2006	2/4/2008
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/2/2006	2/4/2008