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 | 396593 | Jun 14, 2004 | Active |
MCDERMOTT COMPANY & ASSOCIATES | SOUTH JORDAN | UT | 4596 | Jun 14, 2004 | Active |
Company Affiliations | City | State | Type | Active Date |
---|---|---|---|---|
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 |