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.

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/30/2009	6/13/2011
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/21/2010	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/21/2010	12/20/2024
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	Inactive 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
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	2/17/2025
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