DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Keisha	DOIID	1038982	NAIC NPN	19093668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	5/2/2019		7/31/2026
Active	Non Resident	Agent	Health	10/8/2019		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	5/10/2019
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/9/2019	9/7/2021
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	5/10/2019
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	5/10/2019
Active	United Services Automobile Association	300158	Agent - Personal Lines	5/10/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2019	9/7/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/9/2019	9/7/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/9/2019	9/7/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/9/2019	9/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	6/13/2019