DEPARTMENT OF INSURANCE

Affiliations

Name	Keith, Randal Craig	DOIID	312840	NAIC NPN	7161565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/9/1990		12/31/2025
Active	Resident	Agent	Life	8/9/1990		12/31/2025
Active	Resident	Agent	Casualty	8/15/2000		12/31/2025
Active	Resident	Agent	Property	8/15/2000		12/31/2025
Inactive	Resident	Agent	General Lines	2/25/1991	8/15/2000
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	12/17/2001
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/1/1992	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	12/17/2001
Inactive	AF&L Insurance Company	301582	Agent - Health	10/23/2000	6/4/2003
Inactive	AIG Assurance Company	300897	Agent - Casualty	10/8/2003	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - Property	10/8/2003	9/28/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/13/1998	9/2/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/13/1998	9/2/2003
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Inactive	American Economy Insurance Company	300315	Agent - General Lines	2/25/1991	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	6/17/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	9/9/1992	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	6/17/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	4/23/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	4/23/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	11/16/1995	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/1/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/1/2015	11/14/2021
Inactive	American National Insurance Company	301861	Agent - Health	7/8/1998	6/2/2021
Inactive	American National Insurance Company	301861	Agent - Life	7/8/1998	6/2/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/21/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/21/2006	12/12/2007
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/1/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/1/2015	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	4/23/2012
Inactive	American States Insurance Company	301230	Agent - General Lines	2/25/1991	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	4/23/2012
Inactive	American States Life Insurance Company	301884	Agent - Health	8/9/1990	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	8/9/1990	12/6/2004
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/4/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	2/25/1991	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/4/2004
Active	Anthem Life Insurance Company	301209	Agent - Health	9/18/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	9/18/1996
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	7/31/2003
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	7/31/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/11/2015	3/30/2021
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/11/2015	3/30/2021
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	6/18/1991	8/15/2000
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/15/2000	11/22/2004
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/10/2020
Active	Bristol West Insurance Company	301655	Agent - Property	7/10/2020
Inactive	CastlePoint National Insurance Company	300082	Agent - Casualty	8/15/2000	11/30/2004
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	3/26/1993	8/15/2000
Inactive	CastlePoint National Insurance Company	300082	Agent - Property	8/15/2000	11/30/2004
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	10/27/2005
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	10/27/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/17/2010
Active	Dairyland Insurance Company	301370	Agent - Property	11/17/2010
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/28/2001	4/28/2003
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/28/2001	4/28/2003
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/20/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/20/2005	8/27/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	4/23/2012
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	4/23/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/15/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/15/2004
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	10/20/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/8/1993	9/27/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/8/1993	9/27/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/5/2015	2/10/2020
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/5/2015	2/10/2020
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/5/2015	2/10/2020
Inactive	Grange Insurance Company	300234	Agent - Property	2/5/2015	2/10/2020
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/21/2015	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/21/2015	12/30/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/5/2015	2/10/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/5/2015	2/10/2020
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	9/28/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	9/28/2010
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/28/2001	4/28/2003
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/28/2001	4/28/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/21/2018	11/20/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/21/2018	11/20/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/29/2002	9/11/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/29/2002	9/11/2003
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/12/2007	9/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/12/2007	9/28/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	4/23/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	4/23/2012
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	6/13/1996	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	6/13/1996	8/15/2000
Active	Kentucky National Insurance Company	301625	Agent - Casualty	6/30/2011
Active	Kentucky National Insurance Company	301625	Agent - Property	6/30/2011
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/16/1996	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/16/1996	8/2/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	4/23/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	4/23/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	4/23/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	4/23/2012
Inactive	Omni Insurance Company	301545	Agent - General Lines	8/1/1991	11/6/1996
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	6/18/1991	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/15/2000	11/22/2004
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Redland Insurance Company	300687	Agent - General Lines	4/2/1992	4/24/2000
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/20/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/20/2015
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/20/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/20/2015
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	7/10/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/11/2015	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/11/2015	12/21/2015
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	8/10/2010	12/30/2013
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	6/5/2007
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	6/5/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/11/2015	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/11/2015	12/21/2015
Inactive	Time Insurance Company	300683	Agent - Health	12/10/1998	12/14/2004
Inactive	Time Insurance Company	300683	Agent - Life	12/10/1998	12/14/2004
Inactive	Titan Indemnity Company	300556	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Titan Indemnity Company	300556	Agent - General Lines	3/26/1992	8/15/2000
Inactive	Titan Indemnity Company	300556	Agent - Property	8/15/2000	3/31/2002
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	6/14/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	6/14/2004
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/11/2015	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/11/2015	12/21/2015
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	6/14/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	6/14/2004
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/22/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/5/2015	2/10/2020
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/5/2015	2/10/2020
Inactive	United Home Insurance Company	736677	Agent - Casualty	3/22/2018	9/18/2023
Inactive	United Home Insurance Company	736677	Agent - Property	3/22/2018	9/18/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	4/23/2012
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	4/23/2012
Inactive	Western Surety Company	300283	Agent - General Lines	9/25/1997	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	4/14/2011
Active	Designated Agent Company Inc.	681257	Agent - Health	4/14/2011
Inactive	Hawkins & Keith Ins Agency Inc	399571	Agent - General Lines	2/23/1994	8/15/2000
Active	Hawkins & Keith Ins Agency Inc	399571	Agent - Life	3/19/2015
Active	Hawkins & Keith Ins Agency Inc	399571	Agent - Property	8/15/2000
Active	Hawkins & Keith Ins Agency Inc	399571	Agent - Casualty	8/15/2000