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	Health	12/20/2001	5/31/2025
Active	Non Resident	Agent	Casualty	10/31/2012	5/31/2025
Active	Non Resident	Agent	Property	10/31/2012	5/31/2025
Active	Non Resident	Agent	Life	12/20/2001	5/31/2025
* 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
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 Life Insurance Company	301209	Agent - Health	9/1/2005
Active	Anthem Life Insurance Company	301209	Agent - Life	9/1/2005
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	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
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