DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shuster, Michael J	DOIID	761667	NAIC NPN	6823830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2017		11/30/2025
Active	Non Resident	Agent	Life	9/22/2017		11/30/2025
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	9/12/2011	11/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/12/2011	11/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/12/2011	11/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/12/2011	11/4/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/6/2017	1/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/6/2017	1/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/6/2017	1/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/6/2017	4/30/2018

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 Maryland Inc	567051	Agent - Life	2/27/2018	1/3/2020
Inactive	Willis Of Maryland Inc	567051	Agent - Health	2/27/2018	1/3/2020
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	1/31/2020	7/27/2020
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	1/31/2020	7/27/2020