DEPARTMENT OF INSURANCE

Name	Fawcett, Keith	DOIID	383998	NAIC NPN	441872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/14/2024		3/31/2026
Active	Non Resident	Agent	Property	8/15/2000		3/31/2026
Active	Non Resident	Agent	Health	12/20/1994		3/31/2026
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2026
Active	Non Resident	Agent	Life	12/20/1994		3/31/2026
Inactive	Non Resident	Agent	General Lines	10/29/1993	8/15/2000

*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	Brentwood Reinsurance 104 Continental Pl Ste 200Brentwood, TN 370271010
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(615) 263-1300