DEPARTMENT OF INSURANCE

Affiliations

Name	Keith, Karen Joy	DOIID	665675	NAIC NPN	2624819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/8/2007	10/5/2011
Inactive	Non Resident	Agent	Life	10/8/2007	10/5/2011
* 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	Aetna Life Insurance Company	301140	Agent - Health	11/2/2010	10/5/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/2/2010	10/5/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/31/2010	5/20/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/31/2010	5/20/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	11/2/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/16/2010	10/5/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/16/2010	10/5/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2011	11/2/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2010	11/2/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/5/2010	11/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/3/2011	11/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/3/2011	11/2/2011
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	10/18/2010	10/5/2011
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	10/18/2010	10/5/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/24/2010	12/27/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/2/2009	9/27/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/24/2010	12/27/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/24/2010	12/27/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/14/2007	9/27/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/14/2007	10/5/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/14/2007	10/5/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/14/2007	9/27/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/13/2010	4/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/31/2010	5/20/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/31/2010	5/20/2011
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	11/8/2010	3/14/2011
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	11/8/2010	3/14/2011