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DEPARTMENT OF INSURANCE
Affiliations
Name
Pawley, Keith L
DOIID
374761
NAIC NPN
7202277
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
11/13/1996
11/4/1999
Inactive
Resident
Agent
Life
11/13/1996
11/4/1999
Inactive
Resident
Temporary Agent
Ordinary Life (Temporary Life)
10/21/1996
11/13/1996
Inactive
Resident
Temporary Agent
Debit (Temporary Health)
10/21/1996
11/13/1996
* 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 Heritage Life Insurance Company
300272
Agent - Health
7/26/1999
11/4/1999
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
7/26/1999
11/4/1999
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
7/22/1999
11/4/1999
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
7/22/1999
11/4/1999
Inactive
Life Insurance Company of Georgia
300267
Agent - Health
11/13/1996
6/15/1998
Inactive
Life Insurance Company of Georgia
300267
Agent - Life
11/13/1996
6/15/1998
Inactive
Life Insurance Company of Georgia
300267
Temporary Agent - Debit (Temporary Health)
10/21/1996
11/13/1996
Inactive
Life Insurance Company of Georgia
300267
Temporary Agent - Ordinary Life (Temporary Life)
10/21/1996
11/13/1996
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
1/26/1999
11/4/1999
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
1/26/1999
11/4/1999
Inactive
Principal Life Insurance Company
300129
Agent - Health
5/13/1999
11/4/1999
Inactive
Principal Life Insurance Company
300129
Agent - Life
5/13/1999
11/4/1999
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
12/1/1998
11/4/1999
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
12/1/1998
11/4/1999
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
8/11/1999
11/4/1999
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
8/11/1999
11/4/1999
Inactive
Union Security Insurance Company
301844
Agent - Health
6/23/1999
11/4/1999
Inactive
Union Security Insurance Company
301844
Agent - Life
6/23/1999
11/4/1999
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Willis of Louisville, Inc.
401313
Agent - Life
4/13/1999
11/4/1999
Inactive
Willis of Louisville, Inc.
401313
Agent - Health
4/13/1999
11/4/1999
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