DEPARTMENT OF INSURANCE
Affiliations
NameFetz, Keith ADOIID603503NAIC NPN7231469
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities3/3/200510/1/2014 
InactiveNon ResidentAgentLife3/3/200510/1/2014 
InactiveNon ResidentAgentHealth3/3/200510/1/2014 
InactiveNon ResidentAgentCasualty3/3/200510/1/2014 
InactiveNon ResidentAgentPersonal Lines3/3/200510/1/2014 
InactiveNon ResidentAgentProperty3/3/200510/1/2014 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAll Savers Insurance Company301940Agent - Health3/30/201210/1/2014
InactiveAmerican National General Insurance Company301944Agent - Casualty6/7/201012/22/2010
InactiveAmerican National General Insurance Company301944Agent - Property6/7/201012/22/2010
InactiveAmerican National Property and Casualty Company300392Agent - Casualty6/7/201012/22/2010
InactiveAmerican National Property and Casualty Company300392Agent - Property6/7/201012/22/2010
InactiveAnthem Life Insurance Company301209Agent - Health4/1/20052/11/2012
InactiveAnthem Life Insurance Company301209Agent - Life4/1/20052/11/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health10/31/201111/8/2014
InactiveCompBenefits Insurance Company301864Agent - Health3/22/20137/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/22/20137/2/2013
InactiveDental Concern Inc. (The)301641Agent - Health10/31/201111/8/2014
InactiveGenworth Life Insurance Company300623Agent - Health4/21/20053/3/2006
InactiveGenworth Life Insurance Company300623Agent - Life4/21/20053/3/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/20/20053/6/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/20/20053/6/2006
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/4/201311/8/2014
InactiveHumana Health Plan, Inc.300142Agent - Health10/31/201111/8/2014
InactiveHumana Insurance Company301104Agent - Health10/31/201111/8/2014
InactiveHumana Insurance Company301104Agent - Life10/31/201111/8/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/31/201111/8/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/31/201111/8/2014
InactiveHumanaDental Insurance Company301457Agent - Health3/22/20135/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life3/22/20135/13/2013
InactiveKanawha Insurance Company300127Agent - Health10/31/201111/8/2014
InactiveKanawha Insurance Company300127Agent - Life10/31/201111/8/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/13/200510/1/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/13/200510/1/2014
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/13/200510/1/2014
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/13/200510/1/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health2/1/20084/1/2009
InactiveHumana MarketPOINT Inc.398092Agent - Life2/1/20084/1/2009
InactiveMaverick Insurance, LLC553924Agent - Health5/2/20053/1/2007
InactiveMaverick Insurance, LLC553924Agent - Life5/2/20053/1/2007
DeniedUSI Midwest LLC517736Agent - Casualty  
InactiveUSI Midwest LLC517736Agent - Health9/1/201111/5/2013
InactiveUSI Midwest LLC517736Agent - Life9/1/201111/5/2013
DeniedUSI Midwest LLC517736Agent - Property  

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