DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fontenot, Karl Keith	DOIID	822024	NAIC NPN	16849624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/9/2016	5/31/2019
Inactive	Non Resident	Agent	Life	12/9/2016	5/31/2019
* 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	2/28/2017	5/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/28/2017	5/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/28/2017	5/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/24/2016	3/8/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/24/2016	3/8/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/14/2016	2/7/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/14/2016	2/7/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/28/2017	5/31/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/28/2016	5/30/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/28/2016	5/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/26/2013	12/11/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/26/2013	12/11/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/30/2016	3/7/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/30/2016	3/7/2017