DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Scott A	DOIID	635176	NAIC NPN	1487380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/30/2006		7/31/2024
Active	Non Resident	Agent	Health	6/30/2006		7/31/2024
* 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	05/15/2024	07/31/2024

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	11/22/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/22/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2009
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2009	10/12/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	3/18/2009
Active	Anthem Life Insurance Company	301209	Agent - Life	3/18/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/28/2019	11/24/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/28/2019	11/24/2020