DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Parker, Keith	DOIID	805217	NAIC NPN	16881410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/26/2023		4/30/2025
Active	Non Resident	Agent	Life	1/26/2023		4/30/2025
Active	Non Resident	Agent	Casualty	3/8/2013		4/30/2025
Active	Non Resident	Agent	Property	3/8/2013		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/30/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	1/30/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/21/2014	8/26/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/21/2014	8/26/2019
Active	Direct General Life Insurance Company	301045	Agent - Life	1/30/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016
Active	National General Insurance Company	300152	Agent - Casualty	3/12/2013
Active	National General Insurance Company	300152	Agent - Property	3/12/2013
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/1/2013
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/1/2013
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/1/2013
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/1/2013
Active	SilverScript Insurance Company	663526	Agent - Health	1/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	7/1/2013
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	7/1/2013
Inactive	CWI, LLC	662170	Agent - Property	3/26/2013	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	3/26/2013	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	7/1/2013	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	7/1/2013	4/29/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Life	1/30/2023
Active	National General Ins Marketing Inc	621228	Agent - Property	7/1/2013
Active	National General Ins Marketing Inc	621228	Agent - Casualty	7/1/2013
Active	National General Ins Marketing Inc	621228	Agent - Life	1/30/2023