Details for Forman, Debra Nicole
| License | Status | Expires | Number |
|---|---|---|---|
| Resident Producer | Active | Oct 31, 2022 | 213851 |
| Accident and Hlth or Sickness | Active | Issued: Aug 09, 2018 | |
| Life | Active | Issued: Apr 27, 2004 | |
| Accident & Health | Inactive | Issued: Apr 27, 2004 | |
| Resident Customer Service Rep | Inactive | Dec 31, 2004 | 197112 |
| Accident & Health | Inactive | Issued: Dec 24, 2002 | |
| Life | Inactive | Issued: Dec 24, 2002 |
| Agency Affiliations | City | State | License Number | Active Date | Status |
|---|---|---|---|---|---|
| MCDERMOTT COMPANY & ASSOCIATES | SOUTH JORDAN | UT | 4596 | Jun 14, 2004 | Active |
| MCDERMOTT COMPANY & ASSOCIATES | SOUTH JORDAN | UT | 396593 | Jun 14, 2004 | Active |
| Company Affiliations | City | State | Type | Active Date |
|---|---|---|---|---|
| ACE AMERICAN INSURANCE COMPANY | PHILADELPHIA | PA | Accident and Hlth or Sickness | Aug 09, 2018 |
| COMPANION LIFE INSURANCE COMPANY | COLUMBIA | SC | Life | Nov 07, 2016 |
| COMPANION LIFE INSURANCE COMPANY | COLUMBIA | SC | Accident and Hlth or Sickness | Aug 09, 2018 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | JERSEY CITY | NJ | Life | Nov 21, 2005 |
| SelectHealth Inc | MURRAY | UT | Accident and Hlth or Sickness | Aug 21, 2018 |
| TOTAL DENTAL ADMINISTRATORS OF UTAH, INC | SALT LAKE CITY | UT | Accident and Hlth or Sickness | Aug 09, 2018 |