DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scholl-Smith, Maria	DOIID	1009251	NAIC NPN	17684598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	11/7/2022		6/30/2024
Pending Replacement	Non Resident	Agent	Health	11/7/2022		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	10/24/2018	6/30/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	10/24/2018	6/30/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/2/2018	6/30/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/2/2018	6/30/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/2/2018	6/30/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/2/2018	6/30/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/2/2018	6/30/2020
Inactive	Unum Insurance Company	301499	Agent - Health	11/2/2018	6/30/2020
Inactive	Unum Insurance Company	301499	Agent - Life	11/2/2018	6/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Health
Denied	Optavise, LLC	671337	Agent - Life