DEPARTMENT OF INSURANCE

Affiliations

Name	Schaffer, Jeffrey D.	DOIID	512513	NAIC NPN	1171809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/28/2000	3/31/2027
Active	Non Resident	Agent	Health	1/19/2001	3/31/2027
* 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	01/15/2025	03/31/2025	01/02/2025	01/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/10/2010
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/10/2010
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Active	Anthem Life Insurance Company	301209	Agent - Health	7/25/2006
Active	Anthem Life Insurance Company	301209	Agent - Life	7/25/2006
Active	CareSource Kentucky Co.	838179	Agent - Health	12/7/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/13/2016
Active	Companion Life Insurance Company	300191	Agent - Health	4/14/2025
Active	Companion Life Insurance Company	300191	Agent - Life	4/14/2025
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	6/17/2014
Active	Coventry Health and Life Insurance Company	301771	Agent - Life	6/17/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2007	12/13/2016
Inactive	Elixir Insurance Company	696846	Agent - Health	10/20/2019	10/1/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/30/2009	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/30/2009	12/26/2012
Active	Golden Rule Insurance Company	301943	Agent - Health	4/18/2008
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/31/2007	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2007	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/31/2007	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/31/2007	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/12/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/12/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	10/22/2015
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/31/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/15/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	4/15/2021
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	1/19/2001	2/22/2017
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	1/19/2001	2/22/2017
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/28/2000	2/22/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	Standard Insurance Company	300185	Agent - Health	12/31/2024
Active	Standard Insurance Company	300185	Agent - Life	12/31/2024
Inactive	Time Insurance Company	300683	Agent - Health	1/25/2006	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/25/2006	11/22/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/25/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/25/2006	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008
Inactive	Medlink Inc	400721	Agent - Life	9/14/2006	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	9/14/2006	3/31/2024