DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keltner, Bradley Ryan	DOIID	674180	NAIC NPN	10321186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/27/2008	3/1/2014
Inactive	Resident	Agent	Life	2/21/2008	3/1/2014
* 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 Investors Life Insurance Company, Inc.	301358	Agent - Life	3/31/2009	9/30/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/30/2008	3/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/30/2008	3/1/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/28/2009	10/13/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/17/2009	8/9/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/20/2008	3/1/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/14/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/14/2008	12/7/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/4/2010	3/1/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/4/2010	3/1/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/27/2008	11/24/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/21/2008	11/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/18/2008	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/18/2008	6/23/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	9/2/2009	3/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	3/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	3/1/2014