DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jeffrey Read	DOIID	542290	NAIC NPN	5938938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/26/2001	10/10/2012
Active	Non Resident	Agent	Health	5/23/2016		10/31/2024
Active	Non Resident	Agent	Life	5/23/2016		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/8/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	5/8/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	5/8/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/8/2018	6/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ins Planning And Service Co LLC	777158	Agent - Life	5/24/2016
Active	Ins Planning And Service Co LLC	777158	Agent - Health	5/24/2016
Inactive	Insurance Planning & Service Co. Inc.	400509	Administrator - Not Applicable	11/26/2001	10/10/2012