DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Israel Jr, Keith L	DOIID	656248	NAIC NPN	6850667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/6/2020		7/31/2026
Active	Non Resident	Agent	Casualty	3/6/2020		7/31/2026
Active	Non Resident	Agent	Property	3/6/2020		7/31/2026
Active	Non Resident	Agent	Health	3/6/2020		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/12/2024	06/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/2/2021	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/2/2021	12/13/2023
Active	Arch Insurance Company	300688	Agent - Casualty	5/24/2021
Active	Arch Insurance Company	300688	Agent - Property	5/24/2021
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/22/2021	2/2/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/22/2021	2/2/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	2/15/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/15/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/20/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/20/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/7/2023
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/7/2023
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	2/23/2022
Active	Travelers Personal Insurance Company	705785	Agent - Property	2/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	NBS Insurance Agency Inc	515576	Agent - Life
Active	NBS Insurance Agency Inc	515576	Agent - Property	3/20/2020
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	3/20/2020
Denied	NBS Insurance Agency Inc	515576	Agent - Health
Active	Nationwide Sales Solutions Inc	631821	Agent - Life	2/16/2024
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	2/16/2021
Active	Nationwide Sales Solutions Inc	631821	Agent - Casualty	2/16/2021
Active	Nationwide Sales Solutions Inc	631821	Agent - Health	2/16/2024