DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Key HR, Inc.	DOIID	398136	NAIC NPN	2986047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/10/1999	4/3/2003
Inactive	Non Resident	Agent	Health	8/10/1999	4/3/2003
* 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	Principal Life Insurance Company	300129	Agent - Health	10/29/1999	4/3/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/29/1999	4/3/2003
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/10/1999	4/3/2003
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/10/1999	4/3/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dust, Larry R.	359389	Agent - Health	8/10/1999	4/3/2003
Inactive	Dust, Larry R.	359389	Agent - Life	8/10/1999	4/3/2003