DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Chauncey T	DOIID	864845	NAIC NPN	17235761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/27/2016	6/2/2022
Inactive	Non Resident	Agent	Life	1/5/2015	6/2/2022
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	3/27/2018	12/10/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/12/2018	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/12/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/12/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/12/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/12/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/12/2018	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/12/2018	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/12/2018	6/15/2018
Inactive	New York Life Insurance Company	300431	Agent - Life	1/9/2015	4/3/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/26/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/26/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Gohealth LLC	691445	Agent - Health	11/29/2018	12/10/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/4/2016	4/3/2017
Denied	TZ Insurance Solutions LLC	727470	Agent - Health