DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keeler, David Wayne	DOIID	356537	NAIC NPN	369239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/31/2013		8/31/2027
Active	Non Resident	Agent	Health	7/31/2013		8/31/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	10/1/2025
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/2/2020	4/25/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2014	12/15/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/1/2020	12/1/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/1/2020	12/1/2021
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2014	12/15/2020
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	5/4/1992	12/30/1998
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	5/4/1992	12/30/1998
Denied	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health
Denied	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IPA Family, LLC	766836	Agent - Life	5/19/2015	3/31/2017
Inactive	IPA Family, LLC	766836	Agent - Health	5/19/2015	3/31/2017