PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameIcan Insurance LLCDOIID671669NAIC NPN9608776
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/28/20083/31/2022 
InactiveNon ResidentAgentHealth3/28/20083/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health5/16/20086/21/2011
InactiveAetna Life Insurance Company301140Agent - Health5/16/20086/21/2011
InactiveAetna Life Insurance Company301140Agent - Life5/16/20086/21/2011
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/30/20108/11/2011
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/30/20108/11/2011
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health7/14/20081/7/2014
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life7/14/20081/7/2014
InactiveMutual of Omaha Insurance Company301012Agent - Health2/17/20101/27/2014
InactiveOmaha Insurance Company751908Agent - Health2/7/20135/3/2013
InactiveTime Insurance Company300683Agent - Health4/15/200811/15/2019
InactiveTime Insurance Company300683Agent - Life4/15/200811/15/2019
InactiveUnited World Life Insurance Company300532Agent - Health2/17/201012/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/17/20101/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/17/20101/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveShatz, Samuel G 624273Agent - Health3/28/20088/31/2017
InactiveShatz, Samuel G 624273Agent - Life3/28/20088/31/2017
InactiveTucker, Stephen Marc 933636Agent - Health11/14/20173/31/2022
InactiveTucker, Stephen Marc 933636Agent - Life11/14/20173/31/2022

© Commonwealth of Kentucky. All rights reserved.