DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Keith M	DOIID	323314	NAIC NPN	7169346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	10/31/2011
Inactive	Resident	Agent	Credit Life & Health	9/12/1994	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	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/8/2000	7/25/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	10/31/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/26/1998	12/7/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/12/1994	9/22/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Citizens Bank & Trust Company	398804	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	United Citizens Bank & Trust Company	398804	Agent - Limited Line Credit	8/7/2000	10/31/2011