DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keeler, David Wayne	DOIID	356537	NAIC NPN	369239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/31/2013		8/31/2025
Active	Non Resident	Agent	Health	7/31/2013		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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 - Life	8/2/2020	4/25/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2014	12/15/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/1/2020	12/1/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/1/2020	12/1/2021
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2014	12/15/2020
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	5/4/1992	12/30/1998
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	5/4/1992	12/30/1998
Denied	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health
Denied	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IPA Family, LLC	766836	Agent - Life	5/19/2015	3/31/2017
Inactive	IPA Family, LLC	766836	Agent - Health	5/19/2015	3/31/2017