DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Keith Eric	DOIID	379612	NAIC NPN	7204399

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	9/20/1995	8/15/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2006
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/23/2001	7/31/2006
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	7/17/1996	12/31/1998
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	2/10/2000	8/7/2000
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	8/7/2000	8/23/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Credit Life & Health	9/20/1995	5/20/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Oxmoor Auto Inc.	399828	Agent - Credit Life & Health	7/15/1996	1/4/1999
Inactive	Town & Country Ford LLC	399124	Agent - Limited Line Credit	8/23/2001	8/23/2001