black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HAILEY JO FORSCH

PRODUCER NON-RESIDENT

License Number:
PRN445264
Status:
First Licensure:
03/02/2023
Cancel Date:
None

Mailing:
BOISE, ID 83709
Phone:
+1 (208) 914-1937
Fax:
+1 (208) 914-1937
Email:
haileyjo21@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/02/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
12/20/2023 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
12/20/2023 PCF937
THE HANOVER INSURANCE COMPANY
12/20/2023 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
12/20/2023 PCF505

Authority

Description Issue Date Termination Date Status
CASUALTY 03/02/2023 Active
PROPERTY 03/02/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16595958

Other Addresses

Address Type
1555 BROADWAY ST FL 2
DETROIT, MI 48226-2160
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/11/2026 01:27:16 AM