DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Nicholas Anthony	DOIID	1048092	NAIC NPN	19210783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	7/19/2019		1/31/2028
Pending Replacement	Non Resident	Agent	Life	7/19/2019		1/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Health	10/21/2019
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Life	10/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Life	10/21/2019
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Health	10/21/2019