DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keene, James Wesley	DOIID	604921	NAIC NPN	8415588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	8/8/2013		8/31/2025
Active	Resident	Agent	Health	5/5/2005		8/31/2025
Active	Resident	Agent	Life	8/26/2016		8/31/2025
* 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	Baptist Health Plan, Inc.	300157	Agent - Health	5/5/2005	9/12/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	9/20/2019	3/10/2021
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	9/20/2019	3/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baptist Health Plan, Inc. (TPA)	397874	Agent - Health	8/13/2013	9/6/2016
Inactive	Baptist Health Plan, Inc. (TPA)	397874	Administrator - Not Applicable	8/13/2013	9/13/2016
Denied	Usi Insurance Services LLC	669260	Agent - Health
Inactive	Usi Insurance Services LLC	669260	Administrator - Not Applicable	9/13/2016	10/30/2019
Denied	Usi Insurance Services LLC	669260	Agent - Life