DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Dana Rochelle	DOIID	582426	NAIC NPN	7965178

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/22/2005	11/15/2011
Inactive	Resident	Agent	Life	11/22/2005	11/15/2011
* 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 Life Insurance Company	301209	Agent - Health	11/22/2005	5/14/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/22/2005	5/14/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/7/2006	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Health	4/7/2006	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Life	4/7/2006	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/7/2006	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/7/2006	11/15/2011
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	7/24/2006	4/14/2009

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	7/16/2004	4/17/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/16/2004	4/17/2005
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/29/2005	11/15/2011
Inactive	EGN Insurance Agency	594412	Agent - Health	11/22/2005	5/12/2011
Inactive	EGN Insurance Agency	594412	Agent - Life	11/22/2005	5/12/2011