DEPARTMENT OF INSURANCE

Affiliations

Name	Shulman, Robert M	DOIID	604927	NAIC NPN	531761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/11/2005	11/30/2021
Inactive	Non Resident	Agent	Health	3/11/2005	11/30/2021
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/27/2008	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/27/2008	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/27/2008	7/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/6/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2005	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	8/3/2005	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	8/3/2005	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/15/2005	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/15/2005	7/6/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/27/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/27/2008	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/27/2008	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/27/2008	7/6/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/16/2006	11/26/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/16/2006	11/26/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/5/2006	5/18/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/5/2006	5/18/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/30/2013	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/30/2013	9/9/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/27/2005	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/27/2005	12/18/2020
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	4/27/2005	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	4/27/2005	6/25/2008
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/16/2014	3/26/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/30/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/30/2013	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/16/2014	3/26/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	3/26/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	3/26/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/16/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/26/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pritchard & Jerden Inc	549848	Agent - Health	9/18/2007	3/26/2021
Inactive	Pritchard & Jerden Inc	549848	Agent - Life	9/18/2007	6/1/2021