DEPARTMENT OF INSURANCE

Affiliations

Name	De Keyzer, David Harold	DOIID	843583	NAIC NPN	6718432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	5/17/2017	4/30/2020
Inactive	Non Resident	Agent	Health	7/23/2021	4/30/2024
* 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 Inc. (PA)	660717	Agent - Health	8/17/2021	7/14/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2021	7/14/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2021	7/14/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/28/2021	5/16/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	5/16/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	5/16/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	5/16/2022
Inactive	Esurance Insurance Company	301072	Agent - Personal Lines	6/24/2014	12/8/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Personal Lines	6/24/2014	12/8/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	5/22/2017	7/31/2017
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	7/11/2017	7/31/2017
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	8/6/2015	10/27/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/17/2021	7/14/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2021	11/19/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/9/2021	11/19/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/9/2021	11/19/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/9/2021	11/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Personal Lines	6/24/2014	12/8/2014