DEPARTMENT OF INSURANCE

Affiliations

Name	Schaffler, Thomas J	DOIID	542896	NAIC NPN	2115280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/31/2012	5/31/2027
Active	Non Resident	Agent	Casualty	10/31/2012	5/31/2027
Active	Non Resident	Agent	Life	12/20/2001	5/31/2027
Active	Non Resident	Agent	Health	12/20/2001	5/31/2027
* 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	03/15/2025	05/31/2025	03/04/2025	03/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	4 Ever Life Insurance Company	301307	Agent - Health	11/27/2012
Inactive	4 Ever Life Insurance Company	301307	Agent - Life	11/27/2012	12/5/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2005	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2005	4/15/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/12/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/9/2023	4/7/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/16/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/3/2006	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/3/2006	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/7/2017	12/19/2019
Inactive	HM Life Insurance Company	301408	Agent - Health	12/4/2012	8/14/2019
Inactive	HM Life Insurance Company	301408	Agent - Life	12/4/2012	8/14/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/30/2010
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/30/2010
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/7/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/18/2011	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/21/2018	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/21/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/24/2011	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/24/2011	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/18/2011	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/18/2011	5/13/2013
Active	Independence American Insurance Company	524747	Agent - Casualty	6/12/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/12/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/18/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/18/2011	10/22/2015
Active	Life Insurance Company of North America	300711	Agent - Health	3/13/2008
Active	Life Insurance Company of North America	300711	Agent - Life	3/13/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/29/2013	12/6/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/29/2013	12/6/2016
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/21/2015
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/21/2015
Active	Nutmeg Insurance Company	751698	Agent - Casualty	4/10/2025
Active	Nutmeg Insurance Company	751698	Agent - Property	4/10/2025
Active	Pan-American Life Insurance Company	301530	Agent - Health	1/21/2003
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/21/2003
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	10/19/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	10/19/2008
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/10/2025
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	4/10/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	3/9/2023	4/7/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/24/2013	10/2/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/24/2013	10/2/2019
Active	Unimerica Insurance Company	563724	Agent - Health	11/20/2006
Active	Unimerica Insurance Company	563724	Agent - Life	11/20/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	12/20/2001	2/25/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	12/20/2001	2/25/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/9/2023	4/7/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/22/2002	11/22/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/20/2006	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/20/2006	11/30/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2023	4/7/2023
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	7/20/2012	10/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/25/2005	11/8/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013
Inactive	Lockton Companies Inc.	398333	Agent - Health	2/4/2002	2/24/2009
Active	Lockton Companies LLC	621496	Agent - Health	4/13/2006
Active	Lockton Companies LLC	621496	Agent - Life	4/13/2006