DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsythe, Kimberly Taylor	DOIID	914994	NAIC NPN	17932531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/10/2016		2/28/2027
Active	Non Resident	Agent	Property	5/10/2016		2/28/2027
* 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	Dairyland Insurance Company	301370	Agent - Casualty	6/1/2016	3/20/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/1/2016	3/20/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/19/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/19/2018
Active	National General Insurance Company	300152	Agent - Casualty	12/7/2018
Active	National General Insurance Company	300152	Agent - Property	12/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	12/17/2018
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	12/17/2018
Inactive	CWI, LLC	662170	Agent - Property	12/17/2018	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	12/17/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	12/17/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	12/17/2018	4/29/2024
Active	National General Ins Marketing Inc	621228	Agent - Property	12/17/2018
Active	National General Ins Marketing Inc	621228	Agent - Casualty	12/17/2018