DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keyser, Monty Lee	DOIID	334573	NAIC NPN	3144227

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/17/2001	6/28/2007
Inactive	Non Resident	Agent	Life	12/17/2001	6/28/2007
* 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	American General Life Insurance Company	301585	Agent - Health	8/2/2005	6/28/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	8/2/2005	6/28/2007
Inactive	Continental Casualty Company	301019	Agent - Health	8/16/2004	12/15/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/23/2004	12/22/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/23/2004	12/22/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/2/2005	4/20/2006
Inactive	Sears Life Insurance Company	300218	Agent - Health	12/17/2001	1/3/2003
Inactive	Sears Life Insurance Company	300218	Agent - Life	12/17/2001	1/3/2003
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/12/1996	3/31/1997
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/12/1996	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/16/2004	12/15/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/16/2004	12/15/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	6/10/2002	1/3/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	6/10/2002	1/3/2003