DEPARTMENT OF INSURANCE

Name	Megraw, Keith J	DOIID	357616	NAIC NPN	1456558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/1989		6/30/2025
Active	Non Resident	Agent	Life	6/8/1989		6/30/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	8/28/1986	3/1/2001

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

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	Health Insurance By Design 1200 Bell Ln Ste DNew Albany, IN 471507275
Residence	Not Public Information

Internet Information

Type	Address
Business Email	keith@hibydesign.com

Phone Information

Type	Phone
Business / Home Office	(812) 948-1581