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	8/31/2025
Active	Non Resident	Agent	Health	11/15/2017	8/31/2025
* 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	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