DEPARTMENT OF INSURANCE

Name	Keiffner, Connie Jo	DOIID	514533	NAIC NPN	7214803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	6/28/2001	9/23/2002
Inactive	Resident	Adjuster	Workers' Compensation	7/9/2007	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/6/2007	7/9/2007
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/1/2010	12/31/2017

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Kesa 200 Executive ParkLouisville, KY 40207
Residence	Not Public Information

Internet Information

Type	Address
Business Email	ckeiffner@kesa.org
Internet	www.kesa.org

Phone Information

Type	Phone
Business / Home Office	(502) 894-8484
Fax	(502) 326-5700