DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Douglas E	DOIID	524668	NAIC NPN	7217275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/26/2002	7/1/2004
Inactive	Resident	Agent	Life	7/24/2001	7/1/2004
* 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	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/15/2002	8/1/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/15/2002	8/1/2003
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/26/2002	7/1/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/24/2001	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	EKW Solutions, LLC	564371	Agent - Life	2/24/2003	7/1/2004
Inactive	EKW Solutions, LLC	564371	Agent - Health	2/24/2003	7/1/2004