DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Lisa Michelle	DOIID	569633	NAIC NPN	7690033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Health	10/7/2003	7/1/2019
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/19/2016	9/29/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/28/2017	7/14/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/24/2016	10/21/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/31/2014	7/14/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/17/2013	7/14/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/20/2008	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/6/2007	7/14/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/6/2007	7/14/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/31/2014	7/14/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/11/2016	7/14/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/6/2007	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/29/2013	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/9/2013	10/29/2015
Inactive	SILAC Insurance Company	300535	Agent - Health	8/4/2015	3/12/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/24/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/25/2016	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Better Source Benefit Company Inc	564388	Agent - Health	7/19/2006	9/29/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/21/2016	9/29/2018