DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smiley, Cheryl Jean	DOIID	358529	NAIC NPN	7195210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/12/2019		9/30/2025
Active	Resident	Agent	Health	10/21/1996		9/30/2025
Inactive	Resident	Agent	Non-profit Health Service	12/30/1998	3/1/2001
* 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 Life Insurance Company	301209	Agent - Health	10/21/1996	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/1996	12/11/2002
Inactive	Companion Life Insurance Company	300191	Agent - Health	12/10/2001	12/11/2002
Inactive	Companion Life Insurance Company	300191	Agent - Life	12/10/2001	12/11/2002
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	3/1/2001
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Non-profit Health Service	12/30/1998	3/1/2001
Inactive	Dental Choice, Inc.	301702	Agent - Health	2/9/2007	3/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ancillary Choice LLC	1070423	Agent - Life
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	3/1/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Non-profit Health Service	8/9/1999	3/1/2001