DEPARTMENT OF INSURANCE
Affiliations
NameKeller, Jeremy Guy CharlesDOIID1069709NAIC NPN11227112
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/6/2020 2/28/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities1/6/2020 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life10/22/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/22/2020 
InactiveAmerican General Life Insurance Company301585Agent - Life1/11/20226/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/11/20226/14/2022
ActiveBrighthouse Life Insurance Company301829Agent - Life1/14/2020 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities1/14/2020 
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/27/20204/1/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/27/20204/1/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveUbs Financial Services Ins Agency Inc399373Agent - Life1/14/2020 
ActiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities1/14/2020 

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