DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	File, Schuyler	DOIID	1277481	NAIC NPN	15132218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/31/2023		6/30/2026
Active	Non Resident	Agent	Health	5/31/2023		6/30/2026
Active	Non Resident	Agent	Property	5/31/2023		6/30/2026
Active	Non Resident	Agent	Casualty	5/31/2023		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/12/2024	04/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	9/21/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	9/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	9/21/2023