DEPARTMENT OF INSURANCE
Affiliations
NameShoultz, Mark DOIID779013NAIC NPN10758380
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/10/2012 3/31/2027
ActiveNon ResidentAgentHealth4/10/2012 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/31/202501/31/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health9/22/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/22/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/22/2020 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/20205/24/2022
ActiveSilverScript Insurance Company663526Agent - Health9/22/2020 
InactiveUSAA Direct Life Insurance Company301773Agent - Health6/18/201312/12/2013
InactiveUSAA Direct Life Insurance Company301773Agent - Life6/18/201312/12/2013
ActiveUSAA Life Insurance Company300734Agent - Health4/15/2012 
ActiveUSAA Life Insurance Company300734Agent - Life4/15/2012 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/27/202012/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/27/20208/26/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Health4/15/201211/6/2019
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Life4/15/201211/6/2019
ActiveUSAA Life General Agency Inc399318Agent - Health9/17/2020 
ActiveUSAA Life General Agency Inc399318Agent - Life9/17/2020 

© Commonwealth of Kentucky. All rights reserved.