DEPARTMENT OF INSURANCE

Affiliations

Name	Schlotman, Carl R	DOIID	392030	NAIC NPN	371215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/13/2011		5/31/2027
Active	Non Resident	Agent	Life	5/13/2011		5/31/2027
Active	Non Resident	Agent	Casualty	8/15/2000		5/31/2027
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/13/2011		5/31/2027
Active	Non Resident	Agent	Property	8/15/2000		5/31/2027
Inactive	Non Resident	Agent	General Lines	2/28/1992	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/3/2009		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	02/17/2025	02/17/2025	Yes
Surplus Lines Broker	03/15/2025	05/31/2025	02/17/2025	02/17/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	2/14/2011
Active	ACE American Insurance Company	300625	Agent - Property	2/14/2011
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/1/2024
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/1/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/28/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	11/28/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	11/28/2017
Active	All Savers Insurance Company	301940	Agent - Health	1/3/2018
Active	All Savers Insurance Company	301940	Agent - Life	1/3/2018
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/7/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	6/8/1993	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/7/2004
Active	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Property	8/15/2000
Active	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011
Active	American Fire and Casualty Company	300567	Agent - Property	12/7/2011
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	10/15/2021
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	10/15/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/28/2011	11/16/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/28/2011	11/16/2014
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/17/2011
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/17/2011
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	5/17/2011	12/22/2016
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	5/17/2011	12/22/2016
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/17/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/17/2015
Active	Brighthouse Life Insurance Company	301829	Agent - Health	3/20/2015
Active	Brighthouse Life Insurance Company	301829	Agent - Life	3/20/2015
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	2/6/1997	3/31/1998
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/29/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/29/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/29/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/29/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/29/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	11/29/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	10/31/2016
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/31/2016
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024	1/9/2025
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/5/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/18/2014	12/5/2014
Active	Companion Life Insurance Company	300191	Agent - Health	12/20/2023
Active	Companion Life Insurance Company	300191	Agent - Life	12/20/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/17/2002	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/17/2002	10/13/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/7/2004
Inactive	Continental Casualty Company	301019	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/7/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	9/13/2002
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	9/13/2002
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/18/2014	12/5/2014
Active	EMC National Life Company	300388	Agent - Health	2/14/2022
Active	EMC National Life Company	300388	Agent - Life	2/14/2022
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/19/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/19/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	3/4/2016
Active	EMCASCO Insurance Company	842790	Agent - Property	3/4/2016
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	3/4/2016
Active	Employers Mutual Casualty Company	300202	Agent - Property	3/4/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/20/2011	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/20/2011	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/20/2011	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	4/20/2011	12/13/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	1/23/2018	12/15/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	1/23/2018	12/15/2022
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	5/18/2001	9/13/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	5/18/2001	9/13/2002
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/16/2002	9/16/2005
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/16/2002	9/16/2005
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/6/1997	3/31/1998
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/20/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/20/2004
Active	Gerber Life Insurance Company	300529	Agent - Health	1/13/2020
Active	Gerber Life Insurance Company	300529	Agent - Life	1/13/2020
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/5/1997	12/30/1999
Active	Golden Rule Insurance Company	301943	Agent - Health	6/30/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	6/30/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/30/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/30/2019
Active	Grange Insurance Company	300234	Agent - Casualty	8/30/2019
Active	Grange Insurance Company	300234	Agent - Property	8/30/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/30/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/30/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	8/12/2004
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/27/1996	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	8/12/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	8/12/2004
Inactive	Great American Insurance Company	301586	Agent - General Lines	3/14/1994	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	8/12/2004
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	3/27/1996	10/12/1998
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	3/4/2016	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	3/4/2016	12/20/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/1/2019
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	8/1/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/10/2015	12/4/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/10/2015	12/4/2018
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	6/15/2021
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	6/15/2021
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/17/2014	12/23/2015
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/17/2014	12/23/2015
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/2/2024
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	1/2/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/10/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/30/2021	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/30/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/30/2021	12/13/2022
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/17/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/17/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/17/2002	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	6/17/2002	2/3/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	12/21/2020
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	12/21/2020
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	5/4/2007
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	5/4/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/18/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/18/2014	12/5/2014
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	7/15/2002	12/17/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/3/1997	12/30/1999
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	7/15/2002	12/17/2004
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/25/2017
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/25/2017
Active	MICO Insurance Company	301664	Agent - Casualty	6/30/2021
Active	MICO Insurance Company	301664	Agent - Property	6/30/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	8/20/2010
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	8/20/2010
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/27/2024
Active	Motorists Mutual Insurance Company	300963	Agent - Property	6/27/2024
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	2/15/2011
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	2/15/2011
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/7/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	6/4/1993	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/7/2004
Active	National Health Insurance Company	300554	Agent - Health	9/6/2018
Active	National Health Insurance Company	300554	Agent - Life	9/6/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/4/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	10/4/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/17/2002	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/17/2002	4/26/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	4/5/2024
Active	Nutmeg Insurance Company	751698	Agent - Casualty	12/4/2024
Active	Nutmeg Insurance Company	751698	Agent - Property	12/4/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/26/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	1/26/2004
Active	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011
Active	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011
Active	Owners Insurance Company	300796	Agent - Casualty	5/17/2011
Active	Owners Insurance Company	300796	Agent - Property	5/17/2011
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/17/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/17/2015
Active	Pacific Life Insurance Company	301848	Agent - Life	5/17/2021
Active	Peerless Insurance Company	301910	Agent - Casualty	6/17/2002
Active	Peerless Insurance Company	301910	Agent - Property	6/17/2002
Active	Principal Life Insurance Company	300129	Agent - Health	2/27/2012
Active	Principal Life Insurance Company	300129	Agent - Life	2/27/2012
Active	Principal National Life Insurance Company	301926	Agent - Life	1/26/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	7/5/2004
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	7/5/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	7/5/2004
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	7/12/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	7/5/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	7/5/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	7/12/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	7/5/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	7/5/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	7/12/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	7/5/2004
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/13/2024
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/13/2024
Active	Protective Life Insurance Company	300638	Agent - Health	3/16/2023
Active	Protective Life Insurance Company	300638	Agent - Life	3/16/2023
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	3/16/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	2/21/2025
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	5/13/1996	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/11/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/11/2020
Active	Selective Insurance Company of America	500018	Agent - Casualty	9/28/2001
Active	Selective Insurance Company of America	500018	Agent - Property	9/28/2001
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/28/2001
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	9/28/2001
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/15/2000
Inactive	Selective Insurance Company of the Southeast	300381	Agent - General Lines	10/13/1999	8/15/2000
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/15/2000
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/20/2014	8/14/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/20/2014	8/14/2017
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	1/8/2025
Active	SummitPoint Insurance Company	819084	Agent - Casualty	1/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/29/2021	3/17/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2021	3/17/2025
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/7/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/7/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/7/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/7/2004
Active	Trumbull Insurance Company	300242	Agent - Casualty	10/24/2022
Active	Trumbull Insurance Company	300242	Agent - Property	10/24/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/30/2019
Active	Trustgard Insurance Company	300104	Agent - Property	8/30/2019
Active	Trustmark Life Insurance Company	301286	Agent - Health	5/1/2023
Active	Trustmark Life Insurance Company	301286	Agent - Life	5/1/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/19/2017	9/25/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/19/2017	9/25/2019
Active	Union Insurance Company of Providence	842791	Agent - Casualty	3/4/2016
Active	Union Insurance Company of Providence	842791	Agent - Property	3/4/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/30/2023	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/30/2023	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/30/2023	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/30/2023	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/30/2023	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/30/2023	12/17/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/7/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/7/2004
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	5/16/2002	9/16/2005
Inactive	WCF Select Insurance Company	301898	Agent - Property	5/16/2002	9/16/2005
Active	West American Insurance Company	301112	Agent - Casualty	8/15/2000
Inactive	West American Insurance Company	301112	Agent - General Lines	2/28/1992	8/15/2000
Active	West American Insurance Company	301112	Agent - Property	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C A I Insurance Agency Inc	401163	Agent - General Lines	9/21/1999	8/15/2000
Active	C A I Insurance Agency Inc	401163	Agent - Property	8/15/2000
Active	C A I Insurance Agency Inc	401163	Agent - Casualty	8/15/2000
Active	C A I Insurance Agency Inc	401163	Agent - Health	12/30/2013
Active	Wealth Preservation & Management Inc	562345	Agent - Life	10/27/2016