DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keyser, Rebecca J	DOIID	1315821	NAIC NPN	2205267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/20/2023		12/31/2024
Active	Non Resident	Agent	Property	12/20/2023		12/31/2024
Active	Non Resident	Agent	Health	12/20/2023		12/31/2024
Active	Non Resident	Agent	Casualty	12/20/2023		12/31/2024
* 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	10/15/2024	12/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Life
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Health
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Property