DEPARTMENT OF INSURANCE

Affiliations

Name	Schultz, Andrew Mathias	DOIID	682368	NAIC NPN	10933669

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	6/27/2008	6/30/2026
Active	Resident	Agent	Casualty	12/30/2009	6/30/2026
Active	Resident	Agent	Health	6/27/2008	6/30/2026
Active	Resident	Agent	Property	12/30/2009	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/23/2024	05/23/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/12/2018	4/14/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/12/2018	4/14/2023
Active	American General Life Insurance Company	301585	Agent - Health	10/16/2008
Active	American General Life Insurance Company	301585	Agent - Life	10/16/2008
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/1/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/1/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/25/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/25/2015	11/14/2021
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/30/2009	6/13/2011
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/21/2010
Active	Bristol West Insurance Company	301655	Agent - Property	1/21/2010
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/18/2010
Active	Dairyland Insurance Company	301370	Agent - Property	1/18/2010
Active	FB Insurance Company (The)	301763	Agent - Casualty	1/4/2010
Active	FB Insurance Company (The)	301763	Agent - Health	12/28/2009
Active	FB Insurance Company (The)	301763	Agent - Property	1/4/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/11/2010	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/11/2010	12/20/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/8/2013	11/12/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/8/2013	11/12/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/4/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/28/2009
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/4/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/27/2009	9/29/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/27/2009	9/29/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/17/2008	2/10/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/17/2008	2/10/2017
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/28/2009
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/28/2009
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	10/6/2009	12/11/2009
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/6/2009	12/11/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/10/2008	12/11/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/10/2008	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Andrew M Schultz Insurance, LLC	897298	Agent - Life	10/28/2015
Active	Andrew M Schultz Insurance, LLC	897298	Agent - Health	10/28/2015
Active	Andrew M Schultz Insurance, LLC	897298	Agent - Casualty	10/28/2015
Active	Andrew M Schultz Insurance, LLC	897298	Agent - Property	10/28/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/4/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	1/4/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/4/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	1/4/2010
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	10/10/2018
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	10/10/2018