DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Richardson, Keith L	DOIID	730560	NAIC NPN	10468998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/17/2010	6/30/2011
Inactive	Non Resident	Agent	Health	6/17/2010	6/30/2011
* 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 Health Inc. (PA)	660717	Agent - Health	9/13/2010	6/30/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/13/2010	6/30/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/13/2010	6/30/2011
Inactive	Independent Order of Foresters	300743	Agent - Life	8/26/2010	6/30/2011
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/18/2010	10/4/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2010	6/30/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2010	6/30/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2010	6/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/18/2010	6/30/2011
Inactive	Gohealth LLC	691445	Agent - Life	6/28/2010	6/30/2011