DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Charles Elden	DOIID	311312	NAIC NPN	7160746

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	12/30/2014	7/31/2017
Inactive	Resident	Agent	Credit Life & Health	2/3/1997	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/3/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/30/2014	7/31/2017
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/19/2010	7/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	1/12/2011	7/31/2011
Inactive	Madison Bank	398977	Agent - Limited Line Credit	1/18/2005	7/31/2011