DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Person, Keith Allan	DOIID	522801	NAIC NPN	3377989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/23/2001	7/1/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	3/10/2023		6/30/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	3/13/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	3/21/2023
Inactive	California Casualty Indemnity Exchange	301153	Adjuster - Independent	6/6/2002	7/1/2010
Inactive	California Casualty Indemnity Exchange	301153	Staff Adjuster - Property & Casualty	7/1/2010	3/13/2023