DEPARTMENT OF INSURANCE

Affiliations

Name	Schoutko, Samuel Wasilly	DOIID	830628	NAIC NPN	17118677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	1/2/2014	8/31/2017
Inactive	Non Resident	Agent	Property	1/2/2014	8/31/2017
* 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	Bristol West Insurance Company	301655	Agent - Casualty	2/20/2015	10/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/20/2015	10/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/25/2014	7/11/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/25/2014	7/11/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/20/2015	7/11/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/20/2015	7/11/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/20/2015	7/11/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/20/2015	7/11/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	4/14/2014	6/13/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	4/14/2014	6/13/2016
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	4/14/2014	6/13/2016
Inactive	GuideOne Insurance Company	301794	Agent - Property	4/14/2014	6/13/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	4/14/2014	6/13/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	4/14/2014	6/13/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/16/2014	6/16/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/16/2014	6/16/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/16/2014	6/16/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/16/2014	6/16/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/21/2014	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/21/2014	6/22/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/21/2014	6/22/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/21/2014	6/22/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	2/21/2014	6/22/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/21/2014	6/22/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/21/2014	6/22/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	2/21/2014	6/22/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	2/21/2014	6/22/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/21/2014	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	2/21/2014	12/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Max Ins Agency Inc	588185	Agent - Casualty	7/18/2014	6/10/2016
Inactive	Max Ins Agency Inc	588185	Agent - Property	7/18/2014	6/10/2016