DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Osborne-Wray Funeral Home Inc.	DOIID	401011	NAIC NPN	7222836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/2/1991	3/31/1997
Inactive	Resident	Agent	Life	12/2/1991	3/31/1997
* 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	Forethought Life Insurance Company	301407	Agent - Health	12/2/1991	3/31/1997
Inactive	Forethought Life Insurance Company	301407	Agent - Life	12/2/1991	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Powell, Gregory Glenn	321059	Agent - Life	3/15/1993	3/31/1997