DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keith Jr, Cary D	DOIID	743903	NAIC NPN	16100749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/11/2011	1/31/2012
Inactive	Resident	Agent	Life	1/11/2011	1/31/2012
* 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 General Life and Accident Insurance Company	301362	Agent - Health	6/27/2011	2/10/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/27/2011	2/10/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/26/2011	1/31/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/26/2011	1/31/2012
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	9/12/2011	1/31/2012
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	9/12/2011	1/31/2012
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/3/2011	4/16/2012
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/3/2011	4/16/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/16/2011	10/28/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/1/2011	1/31/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/1/2011	1/31/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/11/2011	6/20/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/11/2011	6/20/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/10/2011	3/20/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/10/2011	3/20/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Toohey Insurance Services LLC	698417	Agent - Life	7/1/2011	1/31/2012
Inactive	Toohey Insurance Services LLC	698417	Agent - Health	7/1/2011	1/31/2012