DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaies, Keith Richard	DOIID	1119751	NAIC NPN	19682610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/8/2021		11/30/2027
Active	Non Resident	Agent	Life	2/8/2021		11/30/2027
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	2/10/2021	6/17/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/10/2021	6/17/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/31/2025
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	9/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	2/10/2021	6/17/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	2/10/2021	6/17/2024