DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shulkin, Doug Lloyd	DOIID	723821	NAIC NPN	1000280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/21/2014	5/31/2016
Inactive	Non Resident	Agent	Life	3/21/2014	5/31/2016
* 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	8/5/2014	12/15/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/5/2014	12/15/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/5/2014	12/15/2014
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/1/2010	4/20/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/1/2010	4/20/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	10/1/2010	4/20/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	10/1/2010	4/20/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2015	5/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2015	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2015	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/21/2015	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2015	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2015	5/31/2016
Inactive	Independent Order of Foresters	300743	Agent - Health	3/13/2012	4/20/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	3/13/2012	4/20/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/6/2015	6/17/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/6/2015	6/17/2016
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/9/2010	9/24/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	7/28/2015	5/31/2016
Inactive	Willis Of Illinois Inc	398318	Agent - Health	7/28/2015	5/31/2016