DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jared D	DOIID	695099	NAIC NPN	9678384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/8/2008	8/31/2011
Pending Replacement	Non Resident	Agent	Health	5/7/2020		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
Pending Replacement	AXA XL Insurance Company Americas	300979	Agent - Health	6/3/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/9/2009	3/5/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/9/2009	3/5/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/9/2009	3/5/2010
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	1/20/2009	5/4/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	1/20/2009	5/4/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/29/2008	2/26/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/29/2008	2/26/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/7/2009	8/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/7/2009	8/31/2011
Inactive	Unimerica Insurance Company	563724	Agent - Health	12/30/2008	12/15/2009
Inactive	Unimerica Insurance Company	563724	Agent - Life	12/30/2008	12/15/2009
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	1/16/2009	2/19/2010
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	1/16/2009	2/19/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/30/2008	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/30/2008	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/30/2008	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/30/2008	12/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	12/29/2008	2/19/2010
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	12/29/2008	2/19/2010