DEPARTMENT OF INSURANCE
Affiliations
NameShatz, Samuel GDOIID624273NAIC NPN8207924
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/19/20068/31/2017 
InactiveNon ResidentAgentLife1/19/20068/31/2017 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/20/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20078/31/2017
InactiveAetna Life Insurance Company301140Agent - Health3/20/20068/31/2017
InactiveAetna Life Insurance Company301140Agent - Life3/20/20068/31/2017
InactiveAmerican Heritage Life Insurance Company300272Agent - Health12/7/20098/31/2017
InactiveAmerican Heritage Life Insurance Company300272Agent - Life12/7/20098/31/2017
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health7/14/200812/2/2010
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life7/14/200812/2/2010
InactiveAnthem Life Insurance Company301209Agent - Health3/15/20128/31/2017
InactiveAnthem Life Insurance Company301209Agent - Life3/15/20128/31/2017
InactiveBankers Fidelity Life Insurance Company300193Agent - Health11/11/20087/30/2010
InactiveBankers Fidelity Life Insurance Company300193Agent - Life11/11/20087/30/2010
InactiveColorado Bankers Life Insurance Company301845Agent - Health10/13/20088/31/2017
InactiveColorado Bankers Life Insurance Company301845Agent - Life10/13/20088/31/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health2/11/20106/20/2017
InactiveCompBenefits Insurance Company301864Agent - Health2/11/20107/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life2/11/20107/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health6/30/201510/11/2016
InactiveCoventry Health and Life Insurance Company301771Agent - Health7/18/20148/31/2017
InactiveCoventry Health and Life Insurance Company301771Agent - Life7/18/20148/31/2017
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20106/20/2017
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/23/201212/24/2013
InactiveGerber Life Insurance Company300529Agent - Health11/24/20107/16/2012
InactiveGerber Life Insurance Company300529Agent - Life11/24/20107/16/2012
InactiveGolden Rule Insurance Company301943Agent - Health7/1/20087/14/2017
InactiveGolden Rule Insurance Company301943Agent - Life7/1/20087/14/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Health10/28/20101/3/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Life10/28/20101/3/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20126/20/2017
InactiveHumana Health Plan, Inc.300142Agent - Health8/3/20116/20/2017
InactiveHumana Insurance Company301104Agent - Health5/14/20096/20/2017
InactiveHumana Insurance Company301104Agent - Life5/14/20096/20/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/14/20096/20/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/14/20096/20/2017
InactiveHumanaDental Insurance Company301457Agent - Health5/14/20092/24/2012
InactiveHumanaDental Insurance Company301457Agent - Life5/14/20092/24/2012
InactiveKanawha Insurance Company300127Agent - Health9/23/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/23/201010/22/2015
InactiveMutual of Omaha Insurance Company301012Agent - Health11/12/200912/26/2012
InactivePan-American Life Insurance Company301530Agent - Health2/25/20089/2/2009
InactivePan-American Life Insurance Company301530Agent - Life2/25/20089/2/2009
InactiveSILAC Insurance Company300535Agent - Health6/27/201412/30/2015
InactiveSILAC Insurance Company300535Agent - Life6/27/201412/30/2015
InactiveUnited American Insurance Company300910Agent - Health8/26/200812/11/2009
InactiveUnited American Insurance Company300910Agent - Life8/26/200812/11/2009
InactiveUnited States Fire Insurance Company582240Agent - Health12/7/20108/31/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/12/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/12/200912/26/2012
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/30/20066/11/2007
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/30/20066/11/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/23/20148/31/2017
InactiveDesignated Agent Company Inc.681257Agent - Health11/23/20148/31/2017
InactiveIcan Benefit Group, LLC663794Agent - Life10/16/20073/24/2016
InactiveIcan Benefit Group, LLC663794Agent - Health10/16/20073/24/2016
InactiveIcan Insurance LLC671669Agent - Life3/28/20088/31/2017
InactiveIcan Insurance LLC671669Agent - Health3/28/20088/31/2017

© Commonwealth of Kentucky. All rights reserved.