PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameWickersham, Keelan RayDOIID1292671NAIC NPN20182901
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/18/2023 2/28/2026
ActiveNon ResidentAgentLife8/18/2023 2/28/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/29/20231/2/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/29/20231/2/2024
InactiveTier One Insurance Company301056Agent - Health8/29/20231/2/2024
InactiveTier One Insurance Company301056Agent - Life8/29/20231/2/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSutherland Global Services Inc601788Agent - Life8/29/20231/2/2024
InactiveSutherland Global Services Inc601788Agent - Health8/29/20231/2/2024

© Commonwealth of Kentucky. All rights reserved.