DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Keith Ryan	DOIID	590268	NAIC NPN	2059925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/1/2004	2/28/2005
Inactive	Non Resident	Agent	Health	9/24/2010	1/31/2013
* 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	Kanawha Insurance Company	300127	Agent - Health	5/23/2012	1/31/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/10/2012	1/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Corporate Call Center, Inc	695480	Agent - Health