DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forge Consulting LLC	DOIID	567353	NAIC NPN	7613051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/10/2008		3/31/2026
Denied	Non Resident	Agent	Health
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	7/15/2014
Active	American National Insurance Company	301861	Agent - Life	8/7/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	7/13/2012	8/13/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/20/2008	1/5/2011
Active	Berkshire Hathaway Life Insurance Company of Nebraska	300764	Agent - Life	1/2/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	4/8/2013	11/13/2018
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	7/2/2020	5/8/2024
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/11/2008	12/3/2019
Active	Integrity Life Insurance Company	301687	Agent - Life	6/18/2025
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	4/12/2011	4/27/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	2/21/2012	1/24/2023
Active	New York Life Insurance Company	300431	Agent - Life	7/6/2012
Active	Pacific Life Insurance Company	301848	Agent - Life	11/13/2014
Active	Symetra Life Insurance Company	301691	Agent - Life	8/6/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bair, John Theodore	563931	Agent - Life	3/10/2008	2/13/2012
Active	Phillips, Henry S	662334	Agent - Life	10/20/2021
Inactive	Schell, Charles T	662459	Agent - Life	2/13/2012	10/20/2021