DEPARTMENT OF INSURANCE
Affiliations
NameSmith, Blake AlanDOIID333194NAIC NPN373233
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/25/19988/31/2009 
InactiveNon ResidentAgentLife2/25/19988/31/2009 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20018/31/2009 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEquitable Financial Life Insurance Company300808Agent - Health4/28/19989/25/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/28/19989/25/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/15/20019/25/2007
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health8/10/20069/22/2006
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life8/10/20069/22/2006
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities8/10/20069/22/2006
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health1/29/20041/29/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/29/20041/29/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/29/20041/29/2009
InactivePacific Life Insurance Company301848Agent - Health5/11/19986/4/2009
InactivePacific Life Insurance Company301848Agent - Life5/11/19986/4/2009
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/31/20016/4/2009
InactivePaul Revere Life Insurance Company300971Agent - Health4/14/199811/10/2004
InactivePaul Revere Life Insurance Company300971Agent - Life4/14/199811/10/2004
InactivePrincipal Life Insurance Company300129Agent - Health4/1/20028/31/2009
InactivePrincipal Life Insurance Company300129Agent - Life4/1/20028/31/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/14/19988/31/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/14/19988/31/2009
InactivePruco Life Insurance Company300954Agent - Health6/25/19988/31/2009
InactivePruco Life Insurance Company300954Agent - Life6/25/19988/31/2009
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/26/20018/31/2009
InactivePrudential Insurance Company of America300784Agent - Health2/25/19988/31/2009
InactivePrudential Insurance Company of America300784Agent - Life2/25/19988/31/2009
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities6/26/20018/31/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Health4/20/19988/31/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life4/20/19988/31/2009
InactiveUNUM Life Insurance Company of America300817Agent - Health8/6/20018/31/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life8/6/20018/31/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClark & Wamberg, LLC655825Agent - Life5/21/20071/10/2008
InactiveClark & Wamberg, LLC655825Agent - Health5/21/20071/10/2008

© Commonwealth of Kentucky. All rights reserved.