DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Sandra Gail	DOIID	699710	NAIC NPN	13119385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Health	9/17/2011	10/1/2011
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/19/2009	3/17/2010
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/9/2010	4/7/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/27/2011	10/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senture LLC	731399	Agent - Health	9/27/2011	10/1/2011