DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Schultz, Jeffery	DOIID	816060	NAIC NPN	318591

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/31/2013		2/28/2027
Active	Non Resident	Agent	Life	7/31/2013		2/28/2027
* 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
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/2/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/2/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/17/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/17/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/17/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/17/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/17/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/17/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/17/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/17/2016	12/13/2016
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/22/2020
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	9/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure LLC	696181	Agent - Health
Denied	Acrisure LLC	696181	Agent - Life
Active	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Health	1/28/2025
Active	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Life	1/28/2025