DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Lane Lacel	DOIID	1078854	NAIC NPN	6542471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/9/2021	12/31/2024
Inactive	Non Resident	Agent	Health	3/20/2020	12/31/2024
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	4/17/2022	12/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DOXA Claims, LLC	1128697	Administrator - Not Applicable	4/9/2021	4/19/2024
Inactive	Doxa Accident & Health Insurance, LLC	1084131	Agent - Health	5/18/2020	7/5/2023