DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Keith L	DOIID	655696	NAIC NPN	9283989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/15/2010	10/1/2013
Inactive	Resident	Agent	Life	9/15/2010	10/1/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/12/2008	10/1/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/12/2008	10/1/2009
Inactive	American Income Life Insurance Company	300256	Agent - Health	6/21/2007	1/20/2009
Inactive	American Income Life Insurance Company	300256	Agent - Life	6/28/2007	1/20/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/18/2008	1/29/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/18/2008	1/29/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/1/2011	7/10/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/1/2011	7/10/2013
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/21/2008	10/1/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/3/2008	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/3/2008	11/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/1/2011	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/16/2008	10/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	1/16/2008	10/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2011	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/1/2011	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/16/2008	10/1/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/16/2008	10/1/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/9/2008	10/1/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/9/2008	10/1/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/1/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/1/2011	4/25/2013
Inactive	Modern Woodmen of America	301213	Agent - Life	11/29/2007	10/1/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/16/2008	10/1/2009
Inactive	United American Insurance Company	300910	Agent - Health	6/29/2007	2/12/2008
Inactive	United American Insurance Company	300910	Agent - Life	6/29/2007	2/12/2008
Inactive	United Investors Life Insurance Company	301873	Agent - Life	7/3/2007	2/12/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	1/16/2008	10/1/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2008	10/1/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2008	10/1/2009
Denied			Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MWAGIA, Inc	549166	Agent - Health	1/18/2008	10/1/2009
Inactive	MWAGIA, Inc	549166	Agent - Life	1/18/2008	10/1/2009