DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Small, Dustin	DOIID	1139660	NAIC NPN	19908507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/15/2023	11/30/2024
Inactive	Non Resident	Agent	Health	10/15/2023	11/30/2024
* 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	Accendo Insurance Company	300312	Agent - Life	6/24/2021	4/11/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/24/2021	4/11/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/30/2021	4/5/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/24/2021	4/11/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/24/2021	4/11/2022

Designated to act on behalf of the following Business Entities

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