DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Saunders, Keith A	DOIID	363619	NAIC NPN	965771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	11/23/1999	3/1/2001
Inactive	Non Resident	Agent	Life	2/21/1995	3/31/2018
Inactive	Non Resident	Agent	Health	2/21/1995	3/31/2018
* 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	Aetna Health Inc.	300694	Agent - Health	12/26/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/21/1995	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/21/1995	3/31/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/12/2001	3/1/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/12/2001	3/1/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/2007	3/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/2007	3/31/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/14/2018	3/31/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/14/2018	3/31/2018
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	11/23/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/15/1997	12/20/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/15/1997	12/20/2004
Inactive	Standard Insurance Company	300185	Agent - Health	3/19/2001	3/31/2018
Inactive	Standard Insurance Company	300185	Agent - Life	3/19/2001	3/31/2018
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/9/2012	3/31/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/9/2012	3/31/2018
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/9/2016	3/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Of Indiana Llc	804612	Agent - Life	1/12/2016	3/31/2018
Inactive	Assuredpartners Of Indiana Llc	804612	Agent - Health	1/12/2016	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	3/31/2018
Inactive	Tobias Ins Group Inc	562055	Agent - Life	1/6/2003	4/19/2013
Inactive	Tobias Ins Group Inc	562055	Agent - Health	1/6/2003	4/19/2013