DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keathley, Bryan Norman	DOIID	358737	NAIC NPN	5949229

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	5/10/1999	8/15/2000
Inactive	Non Resident	Agent	Casualty	7/23/2020	3/31/2022
Inactive	Non Resident	Agent	Property	7/23/2020	3/31/2022
* 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 Family Home Insurance Company	301817	Agent - Casualty	10/20/2018	3/31/2020
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	5/10/1999	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/20/2018	3/31/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/26/2018	3/31/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/26/2018	3/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/8/2008	10/16/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/8/2008	10/16/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Mortgage Corporation	535238	Agent - Property	5/24/2017	3/31/2018
Inactive	21st Mortgage Corporation	535238	Agent - Casualty	5/24/2017	3/31/2018