DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Andrew M Schultz Insurance, LLC	DOIID	897298	NAIC NPN	17764273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/28/2015		3/31/2025
Active	Resident	Agent	Casualty	10/28/2015		3/31/2025
Active	Resident	Agent	Health	10/28/2015		3/31/2025
Active	Resident	Agent	Life	10/28/2015		3/31/2025
* 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
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/28/2016	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/28/2016	11/14/2021
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/1/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/1/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/28/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/28/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/28/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/28/2016	11/14/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/9/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/9/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/9/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/9/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/9/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Schultz, Andrew Mathias	682368	Agent - Casualty	10/28/2015
Active	Schultz, Andrew Mathias	682368	Agent - Health	10/28/2015
Active	Schultz, Andrew Mathias	682368	Agent - Life	10/28/2015
Active	Schultz, Andrew Mathias	682368	Agent - Property	10/28/2015