Search → KEVIN JAY FORSMAN
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
KEVIN JAY FORSMAN
PRODUCER NON-RESIDENT
License Number:
PRN219255
Status:
First Licensure:
07/26/2013
Cancel Date:
None
Mailing:
FLAGSTAFF, AZ 86001
Phone:
+1 (928) 773-0090
Email:
diana.forsman@oasecurities.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 07/26/2013 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN UNITED LIFE INSURANCE COMPANY |
07/26/2013 | LHF35996 | ||
| BANNER LIFE INSURANCE COMPANY |
10/23/2013 | LHF50047 | 09/05/2017 | |
| JACKSON NATIONAL LIFE INSURANCE COMPANY |
09/01/2013 | LHF45199 | 05/15/2024 | |
| PIONEER MUTUAL LIFE INSURANCE COMPANY |
07/26/2013 | LHF81040 | 12/05/2017 | |
| STATE LIFE INSURANCE COMPANY |
07/26/2013 | LHF984 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 07/26/2013 | Active | |
| LIFE | 07/26/2013 | Active | |
| VARIABLE CONTRACTS | 07/26/2013 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
3178669
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: 04/12/2026 08:40:41 PM
