DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Jackson	DOIID	1351012	NAIC NPN	21203828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/18/2024		12/31/2027
Active	Non Resident	Agent	Health	7/18/2024		12/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025	11/24/2025	11/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Integrity Life Insurance Company	301687	Agent - Life	7/24/2024	4/30/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	7/24/2024	4/30/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	7/24/2024	4/30/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/24/2024	4/30/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/24/2024	4/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	US Bancorp Investments, Inc.	572662	Agent - Life
Pending	US Bancorp Investments, Inc.	572662	Agent - Health