DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keen, Adam Jacob	DOIID	873739	NAIC NPN	15853339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/18/2017		5/31/2027
Active	Non Resident	Agent	Property	12/18/2017		5/31/2027
Inactive	Non Resident	Agent	Life	4/1/2015	6/29/2017
Inactive	Non Resident	Agent	Health	4/1/2015	6/29/2017
* 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	Great West Casualty Company	301015	Agent - Casualty	6/15/2015	7/6/2017
Inactive	Great West Casualty Company	301015	Agent - Property	6/15/2015	7/6/2017
Inactive	Protective Insurance Company	301117	Agent - Casualty	10/17/2018	12/4/2019
Inactive	Protective Insurance Company	301117	Agent - Property	11/27/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/17/2018	12/4/2019
Inactive	Sagamore Insurance Company	300942	Agent - Property	11/27/2023	3/31/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/28/2016	7/18/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/28/2016	7/18/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/28/2016	7/18/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/28/2016	7/18/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/28/2016	7/18/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/28/2016	7/18/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/28/2016	7/18/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	7/28/2016	7/18/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/28/2016	7/18/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/28/2016	7/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty
Pending	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property