DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Keith	DOIID	824391	NAIC NPN	16460595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/17/2014	9/18/2015
Inactive	Non Resident	Agent	Casualty	2/17/2014	9/18/2015
Inactive	Non Resident	Agent	Health	10/15/2013	9/18/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2013	4/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/17/2013	4/13/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/24/2014	9/18/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/24/2014	9/18/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2013	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2013	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2013	4/13/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	2/24/2014	9/18/2015
Inactive	LM General Insurance Company	300133	Agent - Property	2/24/2014	9/18/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	2/24/2014	9/18/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	2/24/2014	9/18/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/24/2014	9/18/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/24/2014	9/18/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/24/2014	9/18/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/24/2014	9/18/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/24/2014	9/18/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	2/24/2014	9/18/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	12/17/2013	1/7/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2013	4/13/2015