DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schlotman, Kevin D	DOIID	827003	NAIC NPN	1427172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/1/2021		12/31/2024
Inactive	Non Resident	Agent	Health	11/7/2013	12/31/2018
* 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
Administrator	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/22/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/22/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/17/2017	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/22/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/22/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C A I Insurance Agency Inc	401163	Agent - Health	4/12/2017	4/20/2018
Inactive	Flume Health, Inc.	1156407	Administrator - Not Applicable	9/1/2021	5/3/2024