DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jacqueline C	DOIID	535286	NAIC NPN	6199225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/20/2001	9/30/2025
Active	Resident	Agent	Health	8/27/2001	9/30/2025
* 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
Active	Accendo Insurance Company	300312	Agent - Life	8/19/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2017	7/7/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/19/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/3/2017	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/3/2017	7/7/2022
Active	All Savers Insurance Company	301940	Agent - Health	11/21/2019
Active	All Savers Insurance Company	301940	Agent - Life	11/21/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	8/19/2020	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/6/2012	1/20/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/6/2012	1/20/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/19/2016	10/26/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/19/2016	10/26/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	1/15/2016
Active	Anthem Life Insurance Company	301209	Agent - Life	1/15/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/18/2011	8/21/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/2/2011	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/2/2011	10/12/2020
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/24/2019	10/3/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/2/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/2/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/29/2008	3/4/2009
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/29/2008	3/4/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/21/2010	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/21/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/21/2010	7/2/2013
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/19/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/3/2017	6/15/2022
Active	Dental Care Plus Inc.	301495	Agent - Health	4/6/2009
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2010
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	5/11/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/17/2009	11/2/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/15/2015	10/26/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/15/2015	10/26/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/2/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/2/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/25/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/25/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/10/2021	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/26/2021	12/13/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009
Active	Humana Insurance Company	301104	Agent - Health	12/19/2022
Inactive	Humana Insurance Company	301104	Agent - Life	3/20/2009	12/13/2022
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	12/19/2022
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	12/19/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/10/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/20/2021	12/13/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/20/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/20/2009	5/13/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/20/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/20/2006	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/20/2009	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/20/2009	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/15/2013	10/29/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/4/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/4/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Health	11/15/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Life	11/15/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/28/2017	1/22/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	1/28/2013	4/24/2017
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/16/2008	7/18/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/16/2008	7/18/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/19/2016	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/19/2016	10/8/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/20/2010	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/20/2010	12/23/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	7/1/2010	6/21/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	7/1/2010	6/21/2022
Inactive	Security Life Insurance Company of America	300936	Agent - Health	3/18/2016	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	3/18/2016	12/31/2016
Active	Standard Insurance Company	300185	Agent - Health	10/18/2018
Active	Standard Insurance Company	300185	Agent - Life	10/18/2018
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	3/14/2016
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/19/2008	2/12/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Life	9/19/2008	2/12/2009
Active	Trustmark Insurance Company	300317	Agent - Health	7/16/2018
Active	Trustmark Insurance Company	300317	Agent - Life	7/16/2018
Active	Trustmark Life Insurance Company	301286	Agent - Health	10/31/2023
Active	Trustmark Life Insurance Company	301286	Agent - Life	10/31/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/19/2016	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/19/2016	10/8/2021
Inactive	Union Central Life Insurance Company	300307	Agent - Health	2/15/2011	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	2/15/2011	7/1/2014
Inactive	United American Insurance Company	300910	Agent - Health	3/4/2021	12/20/2022
Inactive	United American Insurance Company	300910	Agent - Life	3/4/2021	12/20/2022
Active	United World Life Insurance Company	300532	Agent - Health	10/26/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2009	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2009	6/24/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/16/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/15/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/15/2015	11/4/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/29/2006
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benesolve, LLC	901035	Agent - Life	12/4/2015
Active	Benesolve, LLC	901035	Agent - Health	12/4/2015
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/5/2006
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	KMA Insurance Agency Inc.	401270	Agent - Life	2/10/2009	7/29/2016
Inactive	KMA Insurance Agency Inc.	401270	Agent - Health	2/10/2009	7/29/2016
Inactive	Neace Lukens, Inc.	398909	Agent - Life	6/30/2006	5/23/2008
Inactive	Neace Lukens, Inc.	398909	Agent - Health	6/30/2006	5/23/2008
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014