DEPARTMENT OF INSURANCE

Affiliations

Name	Schaller, Seann Jeremy	DOIID	543857	NAIC NPN	6909525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/8/2002	8/31/2026
Active	Non Resident	Agent	Health	4/8/2002	8/31/2026
Active	Non Resident	Agent	Variable Life and Variable Annuities	9/6/2002	8/31/2026
* 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	06/15/2024	08/31/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc.	300694	Agent - Health	7/21/2005	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/9/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/27/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/21/2005
Active	Aetna Life Insurance Company	301140	Agent - Life	7/21/2005
Inactive	American Continental Insurance Company	643130	Agent - Life	11/9/2017	8/11/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/18/2010	6/28/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/18/2010	6/28/2019
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/26/2002	10/5/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/26/2002	10/5/2021
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	2/21/2003
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	2/21/2003
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	11/1/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/3/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/3/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/15/2009	7/2/2013
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/9/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/14/2015	12/13/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/23/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/23/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Variable Life and Variable Annuities	1/23/2003	12/20/2006
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/19/2014
Active	Golden Rule Insurance Company	301943	Agent - Health	7/14/2015
Active	Golden Rule Insurance Company	301943	Agent - Life	7/14/2015
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	1/3/2005	10/5/2021
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Variable Life and Variable Annuities	1/3/2005	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/26/2002
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/26/2002
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/22/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/22/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2019	4/8/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/16/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	11/21/2019
Active	Humana Insurance Company	301104	Agent - Health	11/7/2019
Inactive	Humana Insurance Company	301104	Agent - Life	1/23/2006	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2019	4/8/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2019	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/21/2019	4/8/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/9/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/9/2012	12/19/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/30/2005	12/15/2008
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	9/30/2005	12/15/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/4/2004	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/4/2004	1/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	1/22/2018
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	4/8/2002	10/1/2004
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	4/8/2002	10/1/2004
Inactive	Kansas City Life Insurance Company	301444	Agent - Variable Life and Variable Annuities	9/6/2002	10/1/2004
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/15/2013	10/29/2015
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/19/2002	12/13/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/19/2002	12/13/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/11/2002	12/17/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/11/2002	12/17/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	12/11/2002	12/17/2005
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/21/2006	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/21/2006	7/17/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/10/2003	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/10/2003	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	4/10/2003	12/5/2005
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/12/2009	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/12/2009	12/27/2018
Inactive	Superior Dental Care Inc.	300418	Agent - Health	3/2/2012	1/9/2014
Inactive	Time Insurance Company	300683	Agent - Health	8/9/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	8/9/2012	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/1/2007	5/1/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/1/2007	5/1/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	1/1/2007	5/1/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/1/2007	5/1/2007
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/23/2006	9/30/2009
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/23/2006	9/30/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/22/2003	10/2/2007
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/8/2005	12/14/2009
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/1/2020	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/14/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/14/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2020	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/8/2005	12/14/2009
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBISA Reaquisitian Corp	547026	Agent - Health	3/20/2003
Active	CBISA Reaquisitian Corp	547026	Agent - Life	3/20/2003
Active	Dental Choice Agency Inc.	398085	Agent - Health	2/8/2022
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Freeman Heyne Schaller LLC	834991	Agent - Health	2/28/2014
Active	Freeman Heyne Schaller LLC	834991	Agent - Life	2/28/2014
Inactive	Schaller Financial Services LLC	608921	Agent - Health	6/17/2005	3/31/2017
Inactive	Schaller Financial Services LLC	608921	Agent - Life	6/17/2005	3/31/2017