DEPARTMENT OF INSURANCE
Affiliations
NameKeller, Thomas PDOIID504129NAIC NPN2342484
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/1/2017 11/30/2024
ActiveNon ResidentAgentLife6/1/2017 11/30/2024
ActiveNon ResidentAgentVariable Life and Variable Annuities6/1/2017 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/23/202112/27/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/23/202112/27/2021
InactiveAmerican General Life Insurance Company301585Agent - Health11/4/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Life11/4/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities11/4/20025/6/2009
InactiveAnthem Life Insurance Company301209Agent - Health8/8/200211/30/2012
InactiveAnthem Life Insurance Company301209Agent - Life8/8/200211/30/2012
InactiveBanner Life Insurance Company301696Agent - Life5/30/20003/17/2006
ActiveBrighthouse Life Insurance Company301829Agent - Health9/28/2022 
ActiveBrighthouse Life Insurance Company301829Agent - Life9/28/2022 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities9/28/2022 
InactiveC.M. Life Insurance Company301335Agent - Life1/22/20027/26/2010
InactiveCanada Life Assurance Company301192Agent - Health10/30/20027/26/2004
InactiveCanada Life Assurance Company301192Agent - Life10/30/20027/26/2004
InactiveClarica Life Insurance Company - U.S.300207Agent - Life6/12/20034/26/2004
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/18/200612/10/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/18/200612/10/2010
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/1/20022/24/2004
InactiveFirst Colony Life Insurance Company301179Agent - Health6/26/20001/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life6/26/20007/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/25/200112/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/25/200112/12/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/13/200311/30/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/13/200311/30/2012
InactiveGeneral American Life Insurance Company300280Agent - Health2/24/200311/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Life2/24/200311/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities2/24/200311/19/2009
InactiveGenworth Life Insurance Company300623Agent - Health9/18/200012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life9/18/200012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/23/200212/5/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/23/200212/5/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities10/23/200212/5/2007
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/22/200212/10/2012
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities4/22/200212/10/2012
ActiveJackson National Life Insurance Company300486Agent - Life2/13/2020 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/13/2020 
InactiveJohn Alden Life Insurance Company300573Agent - Health12/4/200012/29/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life12/4/200012/29/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/21/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/21/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities10/21/200212/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/20/20014/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/20/20014/18/2012
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health10/21/200212/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life10/21/200212/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities10/21/200212/20/2006
InactiveKanawha Insurance Company300127Agent - Health4/11/20089/8/2010
InactiveKanawha Insurance Company300127Agent - Life4/11/20089/8/2010
InactiveLincoln Benefit Life Company301110Agent - Life6/5/20007/5/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/17/200012/21/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/17/200012/21/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/31/200112/21/2012
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life12/20/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities12/20/200112/31/2001
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/19/202010/13/2022
InactiveMetLife Investors USA Insurance Company300845Agent - Health3/14/200611/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/14/200611/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities3/14/200611/19/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life9/13/200512/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities9/13/200512/7/2007
InactiveMidland National Life Insurance Company300923Agent - Life4/26/20043/10/2005
ActiveMinnesota Life Insurance Company300488Agent - Health5/10/2024 
ActiveMinnesota Life Insurance Company300488Agent - Life5/10/2024 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities5/10/2024 
InactiveNassau Life Insurance Company301406Agent - Life1/10/200312/14/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities1/10/200312/14/2004
InactiveNational Life Insurance Company301852Agent - Life11/3/20036/26/2006
InactiveNational Life Insurance Company301852Agent - Variable Life and Variable Annuities11/3/20036/26/2006
ActiveNationwide Life Insurance Company300495Agent - Health2/21/2022 
ActiveNationwide Life Insurance Company300495Agent - Life2/21/2022 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/21/2022 
InactivePHL Variable Insurance Company300525Agent - Life1/10/200312/14/2004
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities1/10/200312/14/2004
InactivePacific Life Insurance Company301848Agent - Life3/13/200611/30/2012
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/13/200611/30/2012
InactivePenn Treaty Network America Insurance Company301297Agent - Health11/21/20006/10/2002
InactivePenn Treaty Network America Insurance Company301297Agent - Life11/21/20006/10/2002
InactivePrincipal Life Insurance Company300129Agent - Health11/26/200111/25/2009
InactivePrincipal Life Insurance Company300129Agent - Life11/26/200111/25/2009
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities11/26/200111/25/2009
ActiveProtective Life Insurance Company300638Agent - Health3/21/2019 
ActiveProtective Life Insurance Company300638Agent - Life3/21/2019 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/21/2019 
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/1/200010/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/1/200010/24/2003
InactivePruco Life Insurance Company300954Agent - Life2/22/201011/30/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/22/201011/30/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities12/13/20029/29/2012
InactiveStandard Insurance Company300185Agent - Health12/30/201111/30/2012
InactiveStandard Insurance Company300185Agent - Life12/30/201111/30/2012
InactiveSun Life Assurance Company of Canada301811Agent - Health4/16/201011/30/2012
InactiveSun Life Assurance Company of Canada301811Agent - Life4/16/201011/30/2012
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health3/26/20017/7/2004
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life3/26/20017/7/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health1/15/200311/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life1/15/200311/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities1/15/200311/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health1/15/200311/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life1/15/200311/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities1/15/200311/16/2011
InactiveTransamerica Life Insurance Company300571Agent - Health1/27/200911/30/2012
InactiveTransamerica Life Insurance Company300571Agent - Life1/27/200911/30/2012
InactiveUNUM Life Insurance Company of America300817Agent - Health5/1/200010/24/2003
InactiveUNUM Life Insurance Company of America300817Agent - Life5/1/200010/24/2003
InactiveUnion Central Life Insurance Company300307Agent - Life1/12/200412/8/2010
InactiveUnion Central Life Insurance Company300307Agent - Variable Life and Variable Annuities3/30/200912/8/2010
InactiveUnion Fidelity Life Insurance Company301136Agent - Health8/4/20002/20/2001
InactiveUnion Fidelity Life Insurance Company301136Agent - Life8/4/20002/20/2001
InactiveUnion Security Insurance Company301844Agent - Health8/23/200112/28/2007
InactiveUnion Security Insurance Company301844Agent - Life8/23/200112/28/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/31/20026/15/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities1/31/20026/15/2005
InactiveWest Coast Life Insurance Company301607Agent - Life9/11/200012/29/2005
Inactive300277Agent - Life7/18/20001/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/6/20026/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/6/20026/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/30/200811/30/2012
InactiveDesignated Agent Company Inc.681257Agent - Health6/30/200811/30/2012

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