DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Appleton, Keith Monroe	DOIID	363950	NAIC NPN	768538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/30/1999	12/31/2015
Inactive	Non Resident	Agent	Health	7/30/1999	12/31/2015
* 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 Fidelity Assurance Company	301004	Agent - Health	7/30/1999	1/21/2014
Inactive	American Fidelity Assurance Company	301004	Agent - Life	7/30/1999	1/21/2014
Inactive	American Public Life Insurance Company	300252	Agent - Health	2/14/2002	8/13/2014
Inactive	American Public Life Insurance Company	300252	Agent - Life	2/14/2002	8/13/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/20/2005	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/20/2005	6/11/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/8/2002	8/7/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foundation One Insurance Services, Ltd	560720	Agent - Life	12/6/2002	8/13/2014
Inactive	Foundation One Insurance Services, Ltd	560720	Agent - Health	12/6/2002	8/13/2014