DEPARTMENT OF INSURANCE

Name	Riley, Keith B	DOIID	358248	NAIC NPN	1313324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/23/2006		4/30/2027
Active	Resident	Agent	Life	10/23/2006		4/30/2027
Active	Resident	Agent	Property	10/23/2006		4/30/2027
Active	Resident	Agent	Casualty	10/23/2006		4/30/2027
Inactive	Resident	Agent	General Lines	8/6/1993	8/15/2000
Active	Resident	Property & Casualty Consultant	Not Applicable	6/16/1999		4/30/2027
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/8/2006	4/17/2025

*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	02/15/2025	04/30/2025	04/01/2025	04/01/2025	Yes
Property & Casualty Consultant	02/15/2025	04/30/2025	04/01/2025	04/01/2025	Yes

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	Hub International 1120 Main StBenton, KY 420251450
Residence	Not Public Information

Internet Information

Type	Address
Business Email	keith.riley@hubinternational.com
Internet	www.peelholland.com

Phone Information

Type	Phone
Business / Home Office	(270) 527-8621