DEPARTMENT OF INSURANCE

Affiliations

Name	Keyser, Grace F	DOIID	830926	NAIC NPN	1625495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/7/2017	7/31/2021
Inactive	Non Resident	Agent	Health	10/7/2017	7/31/2021
* 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	4/22/2014	12/8/2015
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/23/2017	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/30/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/27/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/27/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/18/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/18/2017	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/18/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/18/2017	8/9/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/31/2015	8/27/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	8/31/2015	8/27/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/31/2015	8/27/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/31/2015	8/27/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/31/2014	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/31/2014	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/31/2014	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/31/2014	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	2/4/2014	7/31/2017
Inactive	Medlink Inc	400721	Agent - Health	2/4/2014	7/31/2017