DEPARTMENT OF INSURANCE

Affiliations

Name	Forbes, Sean Eric	DOIID	861332	NAIC NPN	17430430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	12/1/2014	1/31/2026
Active	Resident	Agent	Property	12/1/2014	1/31/2026
Active	Resident	Agent	Life	11/25/2014	1/31/2026
Active	Resident	Agent	Health	11/25/2014	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/15/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/15/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/23/2015	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/15/2015	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/15/2015	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/22/2015
Active	Dairyland Insurance Company	301370	Agent - Property	1/22/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/15/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/15/2015
Inactive	Independence American Insurance Company	524747	Agent - Health	7/25/2019	12/21/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/10/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2014	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2014	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/10/2014
Active	Sean E Forbes Insurance LLC	1247198	Agent - Life	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Property	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Health	12/15/2022
Active	Sean E Forbes Insurance LLC	1247198	Agent - Casualty	12/15/2022