DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Non Resident	Agent	Health	6/30/2006	7/31/2024
Inactive	Non Resident	Agent	Life	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/22/2021	7/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/22/2021	7/31/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2009	7/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2009	10/12/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/18/2009	7/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/18/2009	7/31/2024

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