DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaifer, Carl H	DOIID	939487	NAIC NPN	2519286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/8/2020	4/30/2022
Inactive	Non Resident	Agent	Life	12/12/2016	4/30/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2021	4/30/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/15/2020	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/12/2021	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/27/2018	4/30/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/27/2018	4/30/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/25/2021	5/4/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/12/2021	4/30/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	4/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bmt Insurance Advisors, Inc.	965612	Agent - Life	9/28/2017	4/30/2020
Inactive	Bmt Insurance Advisors, Inc.	965612	Agent - Health	9/28/2017	4/30/2020