DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ketner, Richard	DOIID	1024612	NAIC NPN	18736086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/7/2019		11/30/2025
Active	Non Resident	Agent	Life	1/7/2019		11/30/2025
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/22/2020	12/6/2023
Active	Brighthouse Life Insurance Company	301829	Agent - Life	1/24/2019
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/24/2019	3/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	1/24/2019
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Health