DEPARTMENT OF INSURANCE

Affiliations

Name	Keiner, Judith L	DOIID	346680	NAIC NPN	1497137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/12/2012	1/31/2020
Inactive	Resident	Agent	Life	4/12/2012	1/31/2020
* 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	AF&L Insurance Company	301582	Agent - Health	3/27/1997	12/24/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/21/1998	12/7/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/21/1998	12/7/2005
Inactive	Allied Life Insurance Company	301294	Agent - Health	2/11/1998	1/1/2000
Inactive	Allied Life Insurance Company	301294	Agent - Life	2/11/1998	1/1/2000
Inactive	American Benefit Life Insurance Company	301002	Agent - Health	2/24/1994	6/12/1998
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	2/24/1994	6/12/1998
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	9/2/1998	11/18/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/31/2012	2/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/31/2012	2/19/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	9/14/2016	1/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	9/14/2016	1/31/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/4/2000	7/20/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/4/2000	7/20/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	8/22/2006	10/31/2008
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/22/2006	10/31/2008
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	1/31/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	1/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/22/2011	1/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/22/2011	1/31/2012
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	4/25/2011	1/31/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/4/2012	1/11/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/15/1995	10/17/1996
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/15/1995	10/17/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/12/1996	9/15/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/12/1996	9/15/1998
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/15/2001	12/11/2002
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/15/2001	12/11/2002
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	1/15/2003	12/27/2003
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	1/15/2003	12/27/2003
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	5/26/2014	12/22/2015
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	9/18/1998	1/6/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/18/1998	1/6/2003
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/15/2008	9/11/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/15/2008	9/11/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	1/17/2007	9/5/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	1/17/2007	9/5/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/27/2012	11/19/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/27/2012	11/19/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/22/2013	2/28/2020
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/23/2007
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/17/2011	1/31/2012
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/17/2011	1/31/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/1/2008	5/19/2010
Inactive	Encova Life Insurance Company	301818	Agent - Life	12/18/2000	5/16/2005
Inactive	Everly Life Insurance Company	561641	Agent - Life	6/27/2006	2/1/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/25/2000	12/7/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	9/18/1998	12/7/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/18/1998	12/7/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/9/2001	7/14/2004
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/14/2010	1/31/2012
Inactive	First National Life Insurance Company	300833	Agent - Health	2/14/1994	2/14/1997
Inactive	First National Life Insurance Company	300833	Agent - Life	2/14/1994	2/14/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/31/1995	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/31/1995	3/31/1997
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/5/2012	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/5/2012	1/7/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/15/2014	7/18/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/15/2014	7/18/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2005	12/3/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/10/2005	12/3/2007
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	12/11/1998	5/30/2000
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	12/11/1998	5/30/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/23/2001	12/15/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/23/2001	12/15/2003
Inactive	Independent Order of Foresters	300743	Agent - Life	8/18/2009	1/31/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	1/5/1993	2/3/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/9/2001	2/3/2005
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	12/19/2013	1/31/2020
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	12/19/2013	1/31/2020
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/3/2009	1/31/2012
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	8/4/2006	5/14/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/4/2006	5/14/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/21/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/21/1998	8/2/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/12/2008	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/12/2008	12/7/2010
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/8/2015	5/15/2019
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/13/2014	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/13/2014	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	4/18/2012	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	4/18/2012	12/21/2016
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	4/5/2001	1/19/2005
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	4/5/2001	1/19/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/15/2012	2/6/2013
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	12/2/2009	3/2/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	12/2/2009	3/2/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	1/29/2001	9/29/2008
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	1/29/2001	9/29/2008
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	8/1/1996	3/31/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	8/1/1996	3/31/1997
Inactive	National States Insurance Company	300579	Agent - Health	3/27/1997	4/13/2001
Inactive	National States Insurance Company	300579	Agent - Life	3/27/1997	4/13/2001
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	8/8/1994	5/8/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	8/8/1994	5/8/1997
Inactive	Omaha Insurance Company	751908	Agent - Health	11/9/2012	2/6/2013
Inactive	Oxford Life Insurance Company	301079	Agent - Health	1/18/2007	6/5/2009
Inactive	Oxford Life Insurance Company	301079	Agent - Life	1/18/2007	6/5/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/11/2009	5/10/2010
Inactive	Pan-American Assurance Company	301533	Agent - Health	4/17/2003	3/14/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	4/17/2003	3/14/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	4/17/2003	3/14/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	4/17/2003	3/14/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/11/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/11/1999	8/24/2000
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	10/30/1998	11/12/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	10/30/1998	11/12/2002
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/15/2010	1/6/2011
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	11/15/2010	1/6/2011
Inactive	Pioneer American Insurance Company	301268	Agent - Health	7/9/2008	12/16/2009
Inactive	Pioneer American Insurance Company	301268	Agent - Life	7/9/2008	12/16/2009
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/13/1996	8/18/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/13/1996	8/18/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/9/1994	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/9/1994	1/30/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/11/1999	1/31/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/11/1999	1/31/2012
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	2/21/2008	10/27/2008
Inactive	Puritan Life Insurance Company of America	301892	Agent - Life	2/21/2008	10/27/2008
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	1/1/2000	4/28/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	1/1/2000	4/28/2003
Inactive	Security Life Insurance Company of America	300936	Agent - Health	8/18/2015	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	8/18/2015	12/31/2016
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	1/26/1994	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	1/26/1994	7/18/2003
Inactive	Settlers Life Insurance Company	300189	Agent - Health	3/8/1994	9/25/2000
Inactive	Settlers Life Insurance Company	300189	Agent - Life	3/8/1994	12/7/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	3/23/2005	12/21/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/23/2005	12/21/2005
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/14/2013	1/31/2020
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	3/12/1998	7/17/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	3/12/1998	7/17/2000
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/3/2010	1/31/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/3/2010	1/31/2012
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	8/11/2006	1/31/2012
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	8/11/2006	1/31/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/23/2009	1/25/2010
Inactive	Time Insurance Company	300683	Agent - Health	9/13/2004	10/10/2005
Inactive	Time Insurance Company	300683	Agent - Life	9/13/2004	10/10/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/31/2018	5/13/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/31/2018	5/13/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/20/2010	1/31/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/20/2010	1/31/2012
Inactive	Trinity Life Insurance Company	552459	Agent - Life	3/27/2003	12/7/2005
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/5/2000	9/16/2002
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/5/2000	9/16/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/26/2001	7/31/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/26/2001	7/31/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/23/2002	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/23/2002	11/10/2004
Inactive	USG Annuity & Life Company	300457	Agent - Life	6/9/1994	1/14/2003
Inactive	Union Bankers Insurance Company	301769	Agent - Health	1/26/1994	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	1/26/1994	6/12/1998
Inactive	United American Insurance Company	300910	Agent - Health	8/24/2015	2/25/2019
Inactive	United American Insurance Company	300910	Agent - Life	8/24/2015	2/25/2019
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/13/2015	12/29/2016
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	3/10/2003	8/6/2003
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	3/10/2003	8/6/2003
Inactive	United World Life Insurance Company	300532	Agent - Health	10/6/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/15/2012	2/6/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/15/2012	2/6/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/11/2009	5/10/2010
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/15/2004	12/7/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/15/2004	12/7/2005
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	7/12/2006	11/15/2011
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/28/2008	5/5/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	3/20/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	3/20/1996	2/10/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/23/2011	1/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/23/2011	1/31/2012
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997