DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, David J	DOIID	755220	NAIC NPN	332814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/31/2011	11/30/2026
Active	Non Resident	Agent	Health	5/31/2011	11/30/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/22/2015
Active	Aetna Life Insurance Company	301140	Agent - Health	7/22/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	7/22/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/8/2014	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/8/2014	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/30/2014	3/23/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/22/2015	6/15/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	7/22/2015	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/30/2014	3/23/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	5/6/2015	6/12/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/30/2014	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2014	3/23/2016
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/2/2012	12/17/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/2/2012	12/17/2019
Active	National Health Insurance Company	300554	Agent - Health	3/6/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	9/15/2011	7/6/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/7/2015	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/7/2015	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/7/2011	8/16/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/7/2011	8/16/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/26/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/26/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/26/2012	12/1/2016

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	11/8/2014	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/8/2014	11/2/2016