black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KENNETH LANE KELLER

PRODUCER NON-RESIDENT

License Number:
PRN398275
Status:
First Licensure:
10/01/2021
Cancel Date:
None

Mailing:
SAN DIEGO, CA 92120
Phone:
+1 (619) 550-6679
Fax:
+1 (970) 593-0265
Email:
kenforshort@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/01/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/12/2024 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
12/12/2024 PCF44
COMBINED INSURANCE COMPANY OF AMERICA
12/09/2024 LHF144
CONTINENTAL AMERICAN INSURANCE COMPANY
03/31/2023 LHF80843 07/16/2024
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
07/14/2022 LHF250 07/30/2025
RELIASTAR LIFE INSURANCE COMPANY
12/12/2022 LHF22
STARMOUNT LIFE INSURANCE COMPANY
07/14/2022 LHD131525 07/30/2025
UNUM INSURANCE COMPANY
07/14/2022 LHD241 07/30/2025
UNUM LIFE INSURANCE COMPANY OF AMERICA
07/14/2022 LHD145 07/30/2025

Authority

Description Issue Date Termination Date Status
HEALTH 10/01/2021 Active
LIFE 10/01/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6781492

Other Addresses

Address Type
SAN DIEGO, CA 92120
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/09/2026 10:27:20 AM