DEPARTMENT OF INSURANCE
Affiliations
NameKeith, Fredrick WilliamsDOIID328584NAIC NPN3346476
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth3/31/20057/1/2006 
InactiveResidentAgentVariable Life and Variable Annuities3/31/20057/1/2006 
InactiveResidentAgentLife3/31/20057/1/2006 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/31/20057/1/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/31/20057/1/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health3/26/20015/23/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life3/26/20015/23/2002
InactiveAmerican National Insurance Company301861Agent - Health3/31/20057/1/2006
InactiveAmerican National Insurance Company301861Agent - Life3/31/20057/1/2006
InactiveAmeritas Variable Life Insurance Company300665Agent - Health9/18/19961/26/2005
InactiveAmeritas Variable Life Insurance Company300665Agent - Life9/18/19962/28/2002
InactiveBrighthouse Life Insurance Company301829Agent - Health3/31/20054/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life3/31/20054/15/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health3/31/20055/30/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life3/31/20055/30/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities3/31/20055/30/2006
InactiveDelaware Life Insurance Company301256Agent - Life3/31/20057/1/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life7/14/20009/1/2002
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/10/20019/1/2002
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life5/10/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities5/10/20011/1/2004
InactiveEverlake Life Insurance Company300873Agent - Health4/26/20021/26/2005
InactiveEverlake Life Insurance Company300873Agent - Life4/26/200212/28/2004
InactiveFirst Variable Life Insurance Company300644Agent - Life10/9/19963/31/2003
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/31/20057/1/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveGenworth Life Insurance Company300623Agent - Health3/31/20057/1/2006
InactiveGenworth Life Insurance Company300623Agent - Life3/31/20057/1/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health3/27/199711/1/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life3/27/199711/1/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities10/31/200311/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health10/20/200311/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life10/20/200311/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities10/20/200311/1/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Health3/31/200511/28/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Life3/31/200511/28/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities3/31/200511/28/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health3/31/200512/1/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life3/31/200512/1/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities3/31/200512/1/2005
InactiveKeyport Life Insurance Company300319Agent - Life4/22/200212/31/2003
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities4/22/200212/31/2003
InactiveLincoln Benefit Life Company301110Agent - Health3/31/20057/1/2006
InactiveLincoln Benefit Life Company301110Agent - Life3/31/20057/1/2006
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/31/20052/16/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/31/20052/16/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/31/20052/16/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health3/31/20054/15/2005
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life3/31/20054/15/2005
InactiveNationwide Life Insurance Company300495Agent - Life4/22/200212/16/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/22/200212/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/3/200212/16/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health3/16/20002/3/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/16/20002/3/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/31/20012/3/2005
InactivePacific Life Insurance Company301848Agent - Life3/31/20057/1/2006
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactivePrincipal Life Insurance Company300129Agent - Health3/31/20057/1/2006
InactivePrincipal Life Insurance Company300129Agent - Life3/31/20057/1/2006
InactiveReliaStar Life Insurance Company301712Agent - Health3/31/20057/1/2006
InactiveReliaStar Life Insurance Company301712Agent - Life3/31/20057/1/2006
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life3/31/20057/1/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/31/20057/1/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/31/20057/1/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/31/20057/1/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/31/20057/1/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveTransamerica Life Insurance Company300571Agent - Health11/2/19984/9/2002
InactiveTransamerica Life Insurance Company300571Agent - Life11/2/19984/9/2002
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/10/20014/9/2002
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life12/4/19985/1/2002
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Variable Life and Variable Annuities4/10/20015/1/2002
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health11/25/19975/1/2002
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life11/25/19975/1/2002
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities4/10/20015/1/2002
InactiveUSG Annuity & Life Company300457Agent - Life11/11/20031/1/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Life3/31/20057/1/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities3/31/20057/1/2006
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health3/31/20057/1/2006
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life3/31/20057/1/2006
InactiveWest Coast Life Insurance Company301607Agent - Life3/31/20057/1/2006
InactiveWestern National Life Insurance Company300461Agent - Life3/31/20057/1/2006
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life10/4/19964/29/2002
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities4/6/20014/29/2002
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBHTW Financial Services, Inc.565120Agent - Life3/31/20057/1/2006
InactiveBHTW Financial Services, Inc.565120Agent - Health3/31/20057/1/2006
InactiveBlake Hart Taylor & Wiseman Insurance Agy Inc.400368Agent - Life3/31/20057/1/2006
InactiveBlake Hart Taylor & Wiseman Insurance Agy Inc.400368Agent - Health3/31/20057/1/2006

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