DEPARTMENT OF INSURANCE
Affiliations
NameHealthsmart Benefit Solutions IncDOIID396190NAIC NPN2014599
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable3/6/1997 3/31/2025
ActiveNon ResidentAgentLife12/27/2011 3/31/2025
ActiveNon ResidentAgentHealth12/27/2011 3/31/2025
ActiveNon ResidentIndependent AdjusterProperty & Casualty9/19/2018 3/31/2025
DeniedNon ResidentIndependent AdjusterWorkers' Compensation   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator01/15/202503/31/2025   
Agent01/15/202503/31/2025   
Independent Adjuster01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health1/4/2018 
ActiveAetna Life Insurance Company301140Agent - Health1/4/2018 
ActiveAetna Life Insurance Company301140Agent - Life1/4/2018 
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/25/20131/13/2020
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/25/20131/13/2020
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/11/20135/15/2017
InactiveAnthem Life Insurance Company301209Agent - Health9/11/20134/20/2016
InactiveAnthem Life Insurance Company301209Agent - Life9/11/20134/20/2016
InactiveAssurity Life Insurance Company301099Agent - Health8/31/20137/22/2014
InactiveAssurity Life Insurance Company301099Agent - Life8/31/20137/22/2014
InactiveBaltasVision, LLC598376Agent - Health8/8/201311/12/2015
ActiveBanner Life Insurance Company301696Agent - Life7/24/2013 
InactiveBaptist Health Plan, Inc.300157Agent - Health8/12/20133/31/2019
ActiveBoston Mutual Life Insurance Company300143Agent - Health7/29/2013 
ActiveBoston Mutual Life Insurance Company300143Agent - Life7/29/2013 
InactiveCoventry Health and Life Insurance Company301771Agent - Health1/4/20186/15/2022
ActiveDental Care Plus Inc.301495Agent - Health7/17/2013 
InactiveDental Concern Inc. (The)301641Agent - Health8/4/201512/8/2015
InactiveFidelity Security Life Insurance Company300466Agent - Health9/26/201312/10/2020
InactiveFidelity Security Life Insurance Company300466Agent - Life9/26/201312/10/2020
InactiveHCC Life Insurance Company301827Agent - Health8/6/20136/14/2024
InactiveHCC Life Insurance Company301827Agent - Life8/6/20136/14/2024
ActiveHealth Resources Inc.301210Agent - Health9/9/2013 
InactiveHumana Health Plan, Inc.300142Agent - Health8/4/201512/8/2015
InactiveHumana Insurance Company301104Agent - Health8/4/201512/8/2015
InactiveHumana Insurance Company301104Agent - Life8/4/201512/8/2015
InactiveKanawha Insurance Company300127Agent - Health8/4/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life8/4/201510/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/20/201410/29/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/30/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/30/2015 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health8/1/2014 
ActiveNationwide Life Insurance Company300495Agent - Health4/5/2016 
ActiveNationwide Life Insurance Company300495Agent - Life4/5/2016 
ActiveProvident Life and Accident Insurance Company301525Agent - Health10/28/2015 
ActiveProvident Life and Accident Insurance Company301525Agent - Life10/28/2015 
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/3/201511/7/2022
InactiveTransamerica Life Insurance Company300571Agent - Health8/1/20131/29/2016
InactiveTransamerica Life Insurance Company300571Agent - Life8/1/20131/29/2016
ActiveUNUM Life Insurance Company of America300817Agent - Health10/28/2015 
ActiveUNUM Life Insurance Company of America300817Agent - Life10/28/2015 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/19/20131/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/19/20131/26/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArcher, Todd Edward 835936Agent - Health6/17/20157/13/2017
InactiveArcher, Todd Edward 835936Agent - Life7/6/20157/13/2017
InactiveArnet, Alexander Nelson 665581Administrator - Not Applicable4/7/20101/24/2012
InactiveArnet, Alexander Nelson 665581Agent - Health12/27/20111/24/2012
InactiveArnet, Alexander Nelson 665581Agent - Life12/27/20111/24/2012
InactiveBaltas, Jeffrey Thomas Rex 589880Agent - Health3/2/20153/1/2017
InactiveBaltas, Jeffrey Thomas Rex 589880Agent - Life3/6/20137/17/2013
InactiveDavis, Timothy Ray 367724Agent - Health3/6/20139/30/2020
InactiveDavis, Timothy Ray 367724Agent - Life3/6/20139/30/2020
InactiveDurkin, James W 393588Administrator - Not Applicable3/6/19977/31/2003
InactiveFansler, Gary Richard 371589Administrator - Not Applicable3/6/19978/13/2007
ActiveGregory, Debra Brooke 551882Agent - Health3/6/2013 
ActiveGregory, Debra Brooke 551882Agent - Life3/6/2013 
DeniedHawkes, Lisa Michelle 804238Agent - Health  
DeniedHawkes, Lisa Michelle 804238Agent - Life  
InactiveJenkins, Justin Carol 761039Agent - Health3/6/201310/10/2013
InactiveJenkins, Justin Carol 761039Agent - Life3/6/201310/10/2013
ActiveLegg, Richard H 345678Administrator - Not Applicable1/24/2012 
ActiveLegg, Richard H 345678Agent - Health1/24/2012 
ActiveLegg, Richard H 345678Agent - Life1/24/2012 
ActiveLong, Judy Bartlett 313195Independent Adjuster - Property & Casualty9/24/2018 
InactiveParker, Ted Lee 557790Administrator - Not Applicable8/13/20074/7/2010
InactiveRomo, Rosa 809119Independent Adjuster - Property & Casualty6/26/20135/31/2018
InactiveRomo, Rosa 809119Independent Adjuster - Workers' Compensation6/26/20135/31/2018
DeniedWiniger, Viki Lynn 350843Agent - Health  
DeniedWiniger, Viki Lynn 350843Agent - Life  

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