DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phoenix Committed Insurance Program LLC	DOIID	1327693	NAIC NPN	19375078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/5/2024		3/31/2026
Active	Non Resident	Agent	Life	3/5/2024		3/31/2026
Active	Non Resident	Agent	Casualty	3/5/2024		3/31/2026
Active	Non Resident	Agent	Property	3/5/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smith, David W	593700	Agent - Casualty	3/5/2024
Active	Smith, David W	593700	Agent - Health	3/5/2024
Active	Smith, David W	593700	Agent - Life	3/5/2024
Active	Smith, David W	593700	Agent - Property	3/5/2024
Active	Vann, Becky A	926154	Agent - Health	11/27/2024
Active	Vann, Becky A	926154	Agent - Life	11/27/2024