DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brumm, Keith Baird	DOIID	646744	NAIC NPN	1945362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/2/2007	1/31/2009
Inactive	Non Resident	Agent	Health	1/2/2007	1/31/2009
* 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	American General Life Insurance Company	301585	Agent - Health	2/10/2007	1/31/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	2/10/2007	1/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	2/2/2007	1/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	2/2/2007	1/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/2/2007	1/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/2/2007	1/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/2/2007	1/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/2/2007	1/31/2009
Inactive	Time Insurance Company	300683	Agent - Health	10/16/2007	1/31/2009
Inactive	Time Insurance Company	300683	Agent - Life	10/16/2007	1/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/15/2007	6/4/2007
Inactive	HBDC II, Inc	641352	Agent - Life	2/15/2007	6/4/2007