DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Keisha	DOIID	856231	NAIC NPN	17266795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/13/2014		11/30/2025
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	9/22/2017	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	3/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/22/2015	12/10/2016
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/5/2022	3/15/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/22/2015	3/17/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/16/2014	3/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2015	3/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/23/2016	12/10/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/21/2015	3/17/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/16/2014	3/31/2015

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 - Health	9/26/2017	2/11/2025