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	Health	8/27/2001	9/30/2025
Active	Resident	Agent	Life	9/20/2001	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

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 Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/15/2016	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/15/2016	4/15/2025
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
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	4/6/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2010	12/12/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/11/2009	12/19/2024
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
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/2/2011	7/11/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/2/2011	7/11/2024
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
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	3/20/2009	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/19/2022	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/19/2022	12/12/2024
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	Sun Life Assurance Company of Canada	301811	Agent - Health	2/19/2025
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/19/2025
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	4/18/2025
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
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2019	12/17/2024

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
Active	Shepherd Insurance, LLC	774397	Agent - Life	5/8/2025
Active	Shepherd Insurance, LLC	774397	Agent - Health	5/8/2025