DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Schmid Funeral Home LLC	DOIID	706079	NAIC NPN	13969549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/19/2009	3/31/2021
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	5/22/2009	10/11/2019
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/29/2009	8/26/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gonterman, Timothy Wayne	307118	Agent - Life	1/27/2011	3/31/2021
Inactive	Thompson, Pamela Ann	378895	Agent - Life	5/19/2009	3/31/2021