DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, David Frederick	DOIID	310344	NAIC NPN	517364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	8/9/1985	4/30/1996
Inactive	Non Resident	Agent	Health	4/9/1984	11/18/2002
Inactive	Non Resident	Agent	Life	4/9/1984	11/18/2002
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/9/1988	4/30/1996
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/13/1991	2/22/1996
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/9/1985	2/21/1996
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/25/1997	11/18/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/25/1997	11/18/2002
Inactive	Wilco Life Insurance Company	300122	Agent - Health	4/9/1984	4/15/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Life	4/9/1984	4/15/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	4/15/1996
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	4/15/1996