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
Active	Non Resident	Agent	Health	5/7/2020		8/31/2025
Inactive	Non Resident	Agent	Life	12/8/2008	8/31/2011
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	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