DEPARTMENT OF INSURANCE

Affiliations

Name	Schlotman Jr, Carl Raymond	DOIID	393778	NAIC NPN	1490915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/20/1985	9/30/2014
Inactive	Non Resident	Agent	Life	8/20/1985	9/30/2014
* 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.	300694	Agent - Health	7/11/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/11/2002	9/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/11/2002	9/30/2014
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/16/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/16/2009	12/7/2012
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	7/28/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	7/28/2005	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/28/2005	10/30/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/28/2005	10/30/2014
Inactive	Humana Insurance Company	301104	Agent - Health	6/21/2002	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/21/2002	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	8/31/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/21/1988	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/21/1988	9/20/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/13/1998	9/30/2014
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/13/1998	9/30/2014
Inactive	Time Insurance Company	300683	Agent - Health	9/12/2002	10/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	9/12/2002	10/17/2011
Inactive	United American Insurance Company	300910	Agent - Health	12/21/1992	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Life	12/21/1992	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/20/1985	12/31/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/20/1985	12/31/2000

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 - Life	9/10/1993	9/30/2014
Inactive	C A I Insurance Agency Inc	401163	Agent - Health	9/10/1993	9/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	9/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	9/30/2014