JERRY ALAN FORST

Agent ID: 10000704
National Producer ID: 8555562
Mailing Address: 23951 KILKENNY LN
DAPHNE, AL 36526-8804
Resident State: AL
Phone: 769-823-0034

Agent License

TypeStatusIssue DateExpiration Date
Insurance Producer Active 6/24/20207/31/2025
Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

TypeIssue Date
Accident & Health or Sickness 6/24/2020
Life 6/24/2020

Agent Appointments

11 Records Found

License NumberCompany NameIssue Date
1400016 Ambetter of Magnolia Inc.12/13/2022
1700011 Care Improvement Plus South Central Insurance Company7/27/2021
7700089 Celtic Insurance Company12/9/2024
1400005 Family Benefit Life Insurance Company9/5/2024
8300077 Humana Insurance Company2/15/2024
1700015 Molina Healthcare of Mississippi, Inc.12/20/2022
7700339 Old American Insurance Company8/24/2022
1900017 United National Life Insurance Company of America4/25/2025
7700453 United of Omaha Life Insurance Company8/22/2023
2000024 UnitedHealthcare of Wisconsin, Inc.7/27/2021
7700505 Washington National Insurance Company4/28/2022