DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Jackson	DOIID	1351012	NAIC NPN	21203828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/18/2024		12/31/2027
Active	Non Resident	Agent	Health	7/18/2024		12/31/2027
* 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	Integrity Life Insurance Company	301687	Agent - Life	7/24/2024	4/30/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	7/24/2024	4/30/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	7/24/2024	4/30/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/24/2024	4/30/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/24/2024	4/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	US Bancorp Investments, Inc.	572662	Agent - Life
Pending	US Bancorp Investments, Inc.	572662	Agent - Health