DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Mark Wallace	DOIID	568931	NAIC NPN	543817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/7/2021	2/28/2026
Active	Non Resident	Agent	Health	5/7/2021	2/28/2026
* 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	7/30/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/17/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/17/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	11/17/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/7/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	5/7/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	5/7/2021
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014	2/29/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	2/29/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/5/2014	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/11/2012	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/11/2012	8/20/2012
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/5/2014	12/5/2014
Inactive	General American Life Insurance Company	300280	Agent - Health	1/28/2005	12/16/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	1/28/2005	12/16/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/24/2011	3/30/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/24/2011	3/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/5/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/5/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/5/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/11/2012	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/11/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/11/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/11/2012	8/20/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/14/2009	2/29/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/10/2011	4/2/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/5/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/5/2014	12/5/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	6/27/2011	11/14/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	6/27/2011	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/27/2011	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/27/2011	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/27/2011	2/29/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/27/2011	2/29/2016
Inactive	New England Life Insurance Company	300343	Agent - Health	1/28/2005	6/7/2011
Inactive	New England Life Insurance Company	300343	Agent - Life	1/28/2005	6/7/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/28/2010	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/28/2010	9/9/2015
Active	SilverScript Insurance Company	663526	Agent - Health	11/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/30/2011	6/10/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/28/2010	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/28/2010	9/9/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2009	2/29/2016
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/15/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/28/2009	2/29/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/15/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/13/2021	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/13/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/2/2003	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/2/2003	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	2/29/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	2/29/2016