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DEPARTMENT OF INSURANCE
Affiliations
Name
Keith, Fredrick Williams
DOIID
328584
NAIC NPN
3346476
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
3/31/2005
7/1/2006
Inactive
Resident
Agent
Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Resident
Agent
Life
3/31/2005
7/1/2006
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/31/2005
7/1/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/31/2005
7/1/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
3/26/2001
5/23/2002
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
3/26/2001
5/23/2002
Inactive
American National Insurance Company
301861
Agent - Health
3/31/2005
7/1/2006
Inactive
American National Insurance Company
301861
Agent - Life
3/31/2005
7/1/2006
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
9/18/1996
1/26/2005
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
9/18/1996
2/28/2002
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
3/31/2005
4/15/2005
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
3/31/2005
4/15/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
3/31/2005
5/30/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
3/31/2005
5/30/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
3/31/2005
5/30/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Life
3/31/2005
7/1/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
7/14/2000
9/1/2002
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
4/10/2001
9/1/2002
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
5/10/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
5/10/2001
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Health
4/26/2002
1/26/2005
Inactive
Everlake Life Insurance Company
300873
Agent - Life
4/26/2002
12/28/2004
Inactive
First Variable Life Insurance Company
300644
Agent - Life
10/9/1996
3/31/2003
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
3/31/2005
7/1/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/31/2005
7/1/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/31/2005
7/1/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
3/27/1997
11/1/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
3/27/1997
11/1/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
10/31/2003
11/1/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
10/20/2003
11/1/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
10/20/2003
11/1/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
10/20/2003
11/1/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/31/2005
11/28/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/31/2005
11/28/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
3/31/2005
11/28/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
3/31/2005
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
3/31/2005
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
3/31/2005
12/1/2005
Inactive
Keyport Life Insurance Company
300319
Agent - Life
4/22/2002
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
4/22/2002
12/31/2003
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
3/31/2005
7/1/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
3/31/2005
7/1/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/31/2005
2/16/2006
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/31/2005
2/16/2006
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/31/2005
2/16/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
3/31/2005
4/15/2005
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
3/31/2005
4/15/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
4/22/2002
12/16/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/22/2002
12/16/2004
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/3/2002
12/16/2004
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
3/16/2000
2/3/2005
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
3/16/2000
2/3/2005
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
5/31/2001
2/3/2005
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/31/2005
7/1/2006
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Principal Life Insurance Company
300129
Agent - Health
3/31/2005
7/1/2006
Inactive
Principal Life Insurance Company
300129
Agent - Life
3/31/2005
7/1/2006
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
3/31/2005
7/1/2006
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
3/31/2005
7/1/2006
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/31/2005
7/1/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
11/2/1998
4/9/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
11/2/1998
4/9/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/10/2001
4/9/2002
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
12/4/1998
5/1/2002
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
4/10/2001
5/1/2002
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
11/25/1997
5/1/2002
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
11/25/1997
5/1/2002
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
4/10/2001
5/1/2002
Inactive
USG Annuity & Life Company
300457
Agent - Life
11/11/2003
1/1/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
3/31/2005
7/1/2006
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
3/31/2005
7/1/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
3/31/2005
7/1/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
3/31/2005
7/1/2006
Inactive
West Coast Life Insurance Company
301607
Agent - Life
3/31/2005
7/1/2006
Inactive
Western National Life Insurance Company
300461
Agent - Life
3/31/2005
7/1/2006
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
10/4/1996
4/29/2002
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
4/6/2001
4/29/2002
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
BHTW Financial Services, Inc.
565120
Agent - Life
3/31/2005
7/1/2006
Inactive
BHTW Financial Services, Inc.
565120
Agent - Health
3/31/2005
7/1/2006
Inactive
Blake Hart Taylor & Wiseman Insurance Agy Inc.
400368
Agent - Life
3/31/2005
7/1/2006
Inactive
Blake Hart Taylor & Wiseman Insurance Agy Inc.
400368
Agent - Health
3/31/2005
7/1/2006
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