DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hanson, Keith	DOIID	650476	NAIC NPN	6946250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/12/2007		10/31/2025
Active	Non Resident	Agent	Health	3/12/2007		10/31/2025
* 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	Humana Health Plan, Inc.	300142	Agent - Health	11/24/2008	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/24/2008	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/24/2008	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/24/2008	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/24/2008	8/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	11/24/2008	8/31/2011
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/24/2008	8/31/2011