DEPARTMENT OF INSURANCE

Name	Wilts, Keith Owen	DOIID	303702	NAIC NPN	7157330

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/30/1986	6/19/2000
Inactive	Resident	Managing General Agent	Not Applicable	2/13/1995	3/31/2000
Pending Replacement	Resident	Property & Casualty Consultant	Not Applicable	11/14/2022		4/30/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	4004 Briar Ridge Road La Grange, KY 40031
Residence	Not Public Information
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 649-3896