black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FORWARD STRATEGIES INSURANCE BROKERAGE

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN108583
Status:
First Licensure:
11/17/2004
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
10371 N ORACLE RD STE 102
ORO VALLEY, AZ 85737-9393
Mailing:
2650 MCCORMICK DR # 200S
CLEARWATER, FL 33759-1005
Phone:
+1 (520) 544-7600
Fax:
+1 (520) 531-0055
Email:
entity@amerilife.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/17/2004 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CLEAR SPRING LIFE AND ANNUITY COMPANY
02/17/2021 LHF190587
DEARBORN LIFE INSURANCE COMPANY
12/30/2008 LHF919 09/02/2011
EQUITRUST LIFE INSURANCE COMPANY
06/29/2011 LHF99289
INVESTORS HERITAGE LIFE INSURANCE COMPANY
04/29/2022 LHF278728
NATIONAL WESTERN LIFE INSURANCE COMPANY
11/29/2004 LHF227
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
01/15/2021 LHF62021
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
06/09/2009 LHF231
OCEANVIEW LIFE AND ANNUITY COMPANY
09/23/2020 LHF358208
STATE LIFE INSURANCE COMPANY
03/22/2010 LHF984
WEST COAST LIFE INSURANCE COMPANY
06/24/2005 LHF47439 11/16/2011

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MICHAEL ALLEN JANKY
11/17/2004 PRN108582
KELLY RALPH KLEINSASSER
01/14/2021 PRN370229

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KELLY RALPH KLEINSASSER PRN370229

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7714285

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: 10/16/2025 05:09:42 AM