DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Shirley Jane	DOIID	856589	NAIC NPN	17382213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/1/2022		2/28/2025
Active	Non Resident	Agent	Life	11/1/2022		2/28/2025
Inactive	Non Resident	Agent	Personal Lines	10/19/2017	2/28/2019
* 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	12/15/2024	02/28/2025

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	11/4/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/4/2022
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/22/2017	8/8/2018
Active	Combined Insurance Company of America	301472	Agent - Health	10/18/2024
Active	Combined Insurance Company of America	301472	Agent - Life	10/18/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2014	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2014	3/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2014	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2014	3/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2014	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2014	3/31/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	10/23/2017	2/28/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/22/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/22/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	3/22/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/22/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/4/2015	11/6/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/4/2015	11/6/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	11/6/2015
Active	Unum Insurance Company	301499	Agent - Health	3/22/2024
Active	Unum Insurance Company	301499	Agent - Life	3/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022
Denied	Hodges-Mace LLC	1059189	Agent - Life