DEPARTMENT OF INSURANCE

Affiliations

Name	Keller Sr, Robert Dennison	DOIID	393072	NAIC NPN	939445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/7/2005	7/31/2021
Inactive	Non Resident	Agent	Property	11/7/2005	7/31/2021
Inactive	Non Resident	Agent	General Lines	3/31/1983	8/15/2000
Inactive	Non Resident	Agent	Casualty	11/7/2005	7/31/2021
Inactive	Non Resident	Agent	Health	11/7/2005	7/31/2021
* 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	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	9/17/2003
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	11/20/1997	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	9/17/2003
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	7/31/2005
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	12/22/1988	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	7/31/2005
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/6/2006	7/31/2021
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	2/20/1992	1/31/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/6/2006	7/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/22/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/22/2006	10/25/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	7/31/2005
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	1/23/1998	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	7/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/8/1998	7/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/8/1998	7/31/2005
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/17/2002	7/31/2005
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/17/2002	7/31/2005
Inactive	Canada Life Assurance Company	301192	Agent - Health	6/1/2001	11/19/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	6/1/2001	11/19/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	7/31/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/10/2000	7/16/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/10/2000	7/16/2001
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	1/20/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	1/20/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/17/2006	5/25/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/17/2006	5/25/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	1/20/2010
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	1/20/2010
Inactive	Globe American Casualty Company	301033	Agent - General Lines	2/28/1997	12/1/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/7/1993	11/22/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/7/1993	11/22/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/31/1983	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	7/31/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/21/1990	3/27/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/21/1990	3/27/1996
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Indiana Insurance Company	301909	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	7/31/2005
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	3/19/1992	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Midwestern Indemnity Company (The)	301494	Agent - General Lines	1/31/1992	3/31/1998
Inactive	National Insurance Association	301386	Agent - General Lines	2/28/1997	12/1/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	7/31/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/6/2006	7/31/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	3/31/1983	1/31/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/6/2006	7/31/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/6/2006	7/31/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/6/2006	7/31/2021
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/17/2002	7/31/2005
Inactive	Owners Insurance Company	300796	Agent - Property	10/17/2002	7/31/2005
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Peerless Insurance Company	301910	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	7/31/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/14/1991	7/31/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/14/1991	7/31/2005
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	11/22/1989	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	1/20/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	1/20/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	1/20/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	1/20/2010
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	9/17/2003
Inactive	Security National Insurance Company	301151	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	9/17/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/28/2005	1/11/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	11/28/2005	1/11/2010
Inactive	Time Insurance Company	300683	Agent - Health	11/21/1990	12/14/2004
Inactive	Time Insurance Company	300683	Agent - Life	11/21/1990	12/14/2004
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	9/17/2003
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	9/17/2003
Inactive	West American Insurance Company	301112	Agent - Casualty	4/6/2006	7/31/2021
Inactive	West American Insurance Company	301112	Agent - General Lines	2/20/1992	1/31/2000
Inactive	West American Insurance Company	301112	Agent - Property	4/6/2006	7/31/2021
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	10/10/2000	7/31/2005
Inactive	Westport Insurance Corporation	300448	Agent - Property	10/10/2000	7/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/15/1998	7/31/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/15/1998	7/31/2005
Denied	Designated Agent Company Inc.	681257	Agent - Life
Denied	Designated Agent Company Inc.	681257	Agent - Health
Inactive	John Wood Insurance Agency, Inc.	566537	Agent - Property	6/7/2005	7/31/2005
Inactive	John Wood Insurance Agency, Inc.	566537	Agent - Casualty	6/7/2005	7/31/2005