DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blaies, Keith Richard	DOIID	1119751	NAIC NPN	19682610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/8/2021		11/30/2025
Active	Non Resident	Agent	Life	2/8/2021		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/10/2021	6/17/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/10/2021	6/17/2024
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	9/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	2/10/2021	6/17/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	2/10/2021	6/17/2024