DEPARTMENT OF INSURANCE

Name	Keen, Don Chris	DOIID	333098	NAIC NPN	45445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	9/30/2013
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2013
Inactive	Resident	Agent	General Lines	9/21/1978	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/18/1985	7/14/1997
Inactive	Resident	Surplus Lines Broker	Not Applicable	10/1/1997	7/21/2011

*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
Residence	Not Public Information
Business / Home Office	Assured Nl Insurance Agency, Inc 2305 River RdLouisville, KY 402061010

Phone Information

Type	Phone
Business / Home Office	(502) 451-7700