DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ken Keltner Insurance Agency Inc	DOIID	747760	NAIC NPN	16147598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	2/9/2011		3/31/2025
Active	Resident	Agent	Life	2/9/2011		3/31/2025
Active	Resident	Agent	Casualty	2/9/2011		3/31/2025
Active	Resident	Agent	Health	2/9/2011		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/26/2018
Active	State Farm Fire and Casualty Company	301809	Agent - Property	10/26/2018
Active	State Farm Life Insurance Company	301810	Agent - Life	10/26/2018
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/26/2018
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/26/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Keltner, Ken Frank	333901	Agent - Casualty	2/9/2011
Active	Keltner, Ken Frank	333901	Agent - Health	2/9/2011
Active	Keltner, Ken Frank	333901	Agent - Life	2/9/2011
Active	Keltner, Ken Frank	333901	Agent - Property	2/9/2011