DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keeling, Tony P	DOIID	558235	NAIC NPN	7469680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Line of Authority not selected
Inactive	Resident	Agent	Life	1/14/2003	1/1/2019
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	5/29/2009	6/5/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/24/2005	1/1/2019
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	8/8/2006	4/28/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/3/2003	1/1/2019
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/29/2008	4/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Keeling Family Funeral Home	632690	Agent - Life	6/15/2012	3/31/2018