DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keene, Jill	DOIID	1061844	NAIC NPN	18583298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/21/2019		10/31/2026
Active	Non Resident	Agent	Health	10/21/2019		10/31/2026
* 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	08/15/2024	10/31/2024	10/01/2024	10/01/2024	Yes

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	4/13/2021	4/1/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	11/21/2019	7/16/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	11/21/2019	7/16/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/30/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/30/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Life	1/29/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	1/30/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/13/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/13/2019
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/30/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/30/2024
Active	Unum Insurance Company	301499	Agent - Health	1/30/2024
Active	Unum Insurance Company	301499	Agent - Life	1/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Life	9/28/2022
Active	Hodges-Mace LLC	1059189	Agent - Health	9/28/2022