DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keiper, Bradley David	DOIID	741280	NAIC NPN	2077759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/1/2023		12/31/2025
Active	Non Resident	Agent	Property	6/1/2023		12/31/2025
Inactive	Non Resident	Agent	Health	10/28/2010	12/31/2011
Inactive	Non Resident	Agent	Life	10/28/2010	12/31/2011
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/18/2011	12/31/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/18/2011	12/31/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/18/2011	12/31/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/6/2011	2/28/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/6/2011	2/28/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	1/21/2011	12/31/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	1/11/2011	12/31/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/11/2011	12/31/2011