DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keyes, Kenneth	DOIID	1114229	NAIC NPN	19266770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	12/17/2020		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/11/2021	7/19/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/6/2022	10/28/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/5/2021	7/19/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/30/2021	7/19/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2021	7/19/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/7/2021	7/19/2022
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/6/2022	10/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2022	10/28/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/6/2022	10/28/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2022	10/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/15/2022	7/19/2022