DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Matthew	DOIID	811148	NAIC NPN	16830200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/16/2022		4/30/2026
Active	Non Resident	Agent	Life	5/16/2022		4/30/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/25/2018	4/30/2024
* 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	02/15/2026	04/30/2026

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	8/1/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/1/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/1/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/10/2014	4/30/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/10/2014	4/30/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/13/2013	4/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/13/2013	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2013	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/13/2013	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/13/2013	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/13/2013	4/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/10/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/10/2014	10/22/2015
Active	SilverScript Insurance Company	663526	Agent - Health	8/1/2022
Active	USAA Life Insurance Company	300734	Agent - Health	5/20/2022
Active	USAA Life Insurance Company	300734	Agent - Life	5/20/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	USAA Life General Agency Inc	399318	Agent - Health	6/7/2022
Active	USAA Life General Agency Inc	399318	Agent - Life	6/7/2022