DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Lisa G	DOIID	832055	NAIC NPN	16889895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/22/2014	9/30/2025
Active	Non Resident	Agent	Health	1/22/2014	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	11/11/2020
Active	All Savers Insurance Company	301940	Agent - Life	11/11/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/4/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/4/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/4/2022	4/15/2025
Active	Combined Insurance Company of America	301472	Agent - Health	8/10/2016
Active	Combined Insurance Company of America	301472	Agent - Life	8/10/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/4/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/10/2017	12/13/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	4/2/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/23/2023	12/13/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/23/2023	12/13/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/18/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/29/2014	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	7/24/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	12/12/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/26/2019	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/26/2019	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/6/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/6/2015	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/9/2018	10/25/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/9/2018	10/25/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2017	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/13/2017	12/17/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/13/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/13/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/13/2017	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/8/2022	12/17/2024

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	9/2/2014	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/2/2014	10/17/2018
Inactive	Medlink Inc	400721	Agent - Life	12/8/2017	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/8/2017	3/31/2024