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DEPARTMENT OF INSURANCE
Affiliations
Name
Geoghegan, Keith Scott
DOIID
368624
NAIC NPN
1890730
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
9/18/1991
12/1/2000
Inactive
Resident
Agent
Prepaid Dental Plan
11/26/1996
3/31/1997
Inactive
Resident
Agent
Life
9/18/1991
12/1/2000
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
8/28/1996
12/1/2000
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/28/1996
12/1/2000
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
4/16/1996
3/31/1997
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
4/16/1996
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
9/18/1991
12/1/2000
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/18/1991
12/1/2000
Inactive
Conseco Insurance Company
301202
Agent - Health
11/18/1993
12/1/2000
Inactive
Conseco Insurance Company
301202
Agent - Life
11/18/1993
12/1/2000
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/16/1993
3/31/1997
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/16/1993
3/31/1997
Inactive
DentiCare, Inc.
300655
Agent - Prepaid Dental Plan
11/26/1996
3/31/1997
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Health
11/19/1993
3/31/1997
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
11/19/1993
3/31/1997
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
7/10/1996
12/1/2000
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
7/10/1996
12/1/2000
Inactive
LifeUSA Insurance Company
300386
Agent - Health
11/8/1993
3/31/1997
Inactive
LifeUSA Insurance Company
300386
Agent - Life
11/8/1993
3/31/1997
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
11/14/1996
12/1/2000
Inactive
Nassau Life Insurance Company
301406
Agent - Health
12/6/1991
2/20/1996
Inactive
Nassau Life Insurance Company
301406
Agent - Life
12/6/1991
2/20/1996
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
7/9/1996
2/3/1997
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
7/9/1996
2/3/1997
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
10/9/1996
12/30/1998
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
10/9/1996
12/30/1998
Inactive
Time Insurance Company
300683
Agent - Health
6/5/1996
12/1/2000
Inactive
Time Insurance Company
300683
Agent - Life
6/5/1996
12/1/2000
Inactive
USG Annuity & Life Company
300457
Agent - Life
11/17/1993
12/1/2000
Inactive
Union Bankers Insurance Company
301769
Agent - Health
7/30/1996
3/31/1997
Inactive
Union Bankers Insurance Company
301769
Agent - Life
7/30/1996
3/31/1997
Inactive
Union Security Insurance Company
301844
Agent - Health
6/2/1998
12/1/2000
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
8/10/1993
12/1/2000
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
8/10/1993
12/1/2000
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Insuranceworks Inc.
399819
Agent - Life
6/6/1996
12/1/2000
Inactive
Insuranceworks Inc.
399819
Agent - Health
6/6/1996
12/1/2000
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