DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Robert S	DOIID	685332	NAIC NPN	8974140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/15/2017	8/31/2027
Active	Non Resident	Agent	Health	11/15/2017	8/31/2027
* 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	06/15/2025	08/31/2025	06/27/2025	06/27/2025	Yes

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	1/28/2016	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/28/2016	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/28/2016	8/31/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	2/27/2018	7/19/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	2/27/2018	7/19/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/15/2018	5/3/2023
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/15/2018	5/3/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/28/2016	8/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	1/28/2016	8/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/30/2008	1/30/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/30/2008	1/30/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/2/2015	12/15/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/2/2015	12/15/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/2/2015	12/15/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/2/2015	12/15/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/2/2015	12/15/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/2/2015	12/15/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/2/2015	12/15/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/2/2015	12/15/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/22/2017	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/22/2017	10/8/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/3/2019	7/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/22/2017	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/22/2017	10/8/2021
Active	United States Fire Insurance Company	582240	Agent - Health	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	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	4/20/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	4/20/2022