DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Justin James	DOIID	1014825	NAIC NPN	18938714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	10/12/2018	3/31/2021
Pending Replacement	Non Resident	Agent	Health	4/4/2022		3/31/2025
Pending Replacement	Non Resident	Agent	Life	4/4/2022		3/31/2025
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	4/7/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/7/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/7/2022
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/1/2018	12/27/2018
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2022
Inactive	Encompass Indemnity Company	546376	Agent - Personal Lines	11/12/2018	7/31/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Personal Lines	11/12/2018	12/13/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	11/1/2018	12/27/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	11/12/2018	1/29/2019
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	4/7/2022
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024