DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mccormick Jr, Keith Henry	DOIID	1013772	NAIC NPN	18655208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/8/2018	4/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/8/2019	4/30/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2019	7/23/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/2/2019	4/30/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	10/29/2019	12/15/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/8/2019	4/30/2021
Inactive	Federal Insurance Company	301144	Agent - Health	11/26/2018	8/6/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	11/30/2018	4/22/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	10/9/2020	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/4/2019	4/30/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/27/2019	4/30/2021