DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Shannon Wayne	DOIID	892428	NAIC NPN	5935793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/10/2022	2/29/2024
Inactive	Non Resident	Agent	Health	5/10/2022	2/29/2024
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/17/2018	3/12/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/17/2018	3/12/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/5/2015	2/28/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/5/2015	2/28/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/2/2017	4/29/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/8/2018	12/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/8/2018	12/30/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/2/2017	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/13/2017	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/13/2017	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/13/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/13/2017	12/8/2017

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	10/5/2015	2/28/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/5/2015	2/28/2022