DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Pamela Sue	DOIID	724985	NAIC NPN	7542090

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/20/2010	4/30/2022
Inactive	Non Resident	Agent	Life	3/20/2010	4/30/2022
* 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	Anthem Life Insurance Company	301209	Agent - Health	6/9/2011	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/9/2011	11/3/2016
Inactive	Forethought Life Insurance Company	301407	Agent - Health	12/15/2011	11/10/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	12/15/2011	11/10/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/17/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/17/2011	12/26/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	12/21/2011	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	12/21/2011	9/13/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2011	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/24/2012	4/22/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Health	5/3/2010	3/13/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	5/3/2010	3/13/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/16/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/16/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/13/2016	1/25/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/25/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/25/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/13/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/13/2016	1/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/9/2011	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/9/2011	11/2/2016