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DEPARTMENT OF INSURANCE
Affiliations
Name
Shatz, Samuel G
DOIID
624273
NAIC NPN
8207924
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
1/19/2006
8/31/2017
Inactive
Non Resident
Agent
Life
1/19/2006
8/31/2017
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc.
300694
Agent - Health
3/20/2006
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
8/31/2017
Inactive
Aetna Life Insurance Company
301140
Agent - Health
3/20/2006
8/31/2017
Inactive
Aetna Life Insurance Company
301140
Agent - Life
3/20/2006
8/31/2017
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
12/7/2009
8/31/2017
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
12/7/2009
8/31/2017
Inactive
American Pioneer Life Insurance Company
301782
Agent - Health
7/14/2008
12/2/2010
Inactive
American Pioneer Life Insurance Company
301782
Agent - Life
7/14/2008
12/2/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/15/2012
8/31/2017
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/15/2012
8/31/2017
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Health
11/11/2008
7/30/2010
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Life
11/11/2008
7/30/2010
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
10/13/2008
8/31/2017
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
10/13/2008
8/31/2017
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
2/11/2010
6/20/2017
Inactive
CompBenefits Insurance Company
301864
Agent - Health
2/11/2010
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
2/11/2010
7/2/2013
Inactive
Companion Life Insurance Company
300191
Agent - Health
6/30/2015
10/11/2016
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
7/18/2014
8/31/2017
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Life
7/18/2014
8/31/2017
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
6/21/2010
6/20/2017
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
12/23/2012
12/24/2013
Inactive
Gerber Life Insurance Company
300529
Agent - Health
11/24/2010
7/16/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Life
11/24/2010
7/16/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
7/1/2008
7/14/2017
Inactive
Golden Rule Insurance Company
301943
Agent - Life
7/1/2008
7/14/2017
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
10/28/2010
1/3/2017
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
10/28/2010
1/3/2017
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/10/2012
6/20/2017
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/3/2011
6/20/2017
Inactive
Humana Insurance Company
301104
Agent - Health
5/14/2009
6/20/2017
Inactive
Humana Insurance Company
301104
Agent - Life
5/14/2009
6/20/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
5/14/2009
6/20/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
5/14/2009
6/20/2017
Inactive
HumanaDental Insurance Company
301457
Agent - Health
5/14/2009
2/24/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
5/14/2009
2/24/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
9/23/2010
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
9/23/2010
10/22/2015
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
11/12/2009
12/26/2012
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
2/25/2008
9/2/2009
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
2/25/2008
9/2/2009
Inactive
SILAC Insurance Company
300535
Agent - Health
6/27/2014
12/30/2015
Inactive
SILAC Insurance Company
300535
Agent - Life
6/27/2014
12/30/2015
Inactive
United American Insurance Company
300910
Agent - Health
8/26/2008
12/11/2009
Inactive
United American Insurance Company
300910
Agent - Life
8/26/2008
12/11/2009
Inactive
United States Fire Insurance Company
582240
Agent - Health
12/7/2010
8/31/2017
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/12/2009
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/12/2009
12/26/2012
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
1/30/2006
6/11/2007
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
1/30/2006
6/11/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
11/23/2014
8/31/2017
Inactive
Designated Agent Company Inc.
681257
Agent - Health
11/23/2014
8/31/2017
Inactive
Ican Benefit Group, LLC
663794
Agent - Life
10/16/2007
3/24/2016
Inactive
Ican Benefit Group, LLC
663794
Agent - Health
10/16/2007
3/24/2016
Inactive
Ican Insurance LLC
671669
Agent - Life
3/28/2008
8/31/2017
Inactive
Ican Insurance LLC
671669
Agent - Health
3/28/2008
8/31/2017
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