DEPARTMENT OF INSURANCE

Affiliations

Name	Keeton, Thomas Johnson	DOIID	724088	NAIC NPN	15697420

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/29/2018	12/31/2019
Inactive	Non Resident	Agent	Health	1/29/2018	12/31/2019
* 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	Bankers Life and Casualty Company	300701	Agent - Health	3/19/2010	9/3/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	3/19/2010	9/3/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	3/19/2010	9/3/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	3/19/2010	9/3/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/11/2011	4/13/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/3/2010	9/3/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/11/2011	4/13/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/14/2012	10/19/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/11/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	5/11/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/11/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/11/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/11/2011	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/11/2011	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/11/2011	4/13/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/27/2010	10/19/2015
Inactive	Nassau Life and Annuity Company	513671	Agent - Life	4/15/2019	12/31/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	3/27/2012	10/19/2015
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/15/2018	12/31/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/27/2010	10/19/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/27/2010	10/19/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/24/2013	5/8/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/16/2013	5/8/2014

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 - Life	12/12/2013	10/19/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	10/19/2015
Inactive	Medlink Inc	400721	Agent - Life	3/30/2011	10/19/2015
Inactive	Medlink Inc	400721	Agent - Health	3/30/2011	10/19/2015