DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keener, Dale J	DOIID	548713	NAIC NPN	2021719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/20/2022		9/30/2026
Active	Non Resident	Agent	Life	1/20/2022		9/30/2026
* 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
Agent	07/15/2024	09/30/2024	07/02/2024	07/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Symetra Life Insurance Company	301691	Agent - Health	5/24/2002	5/28/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	5/24/2002	5/28/2004
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/7/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/7/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/7/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Loomis Company [The]	401159	Agent - Health	10/28/2002	5/3/2004
Inactive	Loomis Company [The]	401159	Agent - Life	10/28/2002	5/3/2004