DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Roger K	DOIID	969404	NAIC NPN	1068147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/25/2017	2/28/2022
Inactive	Non Resident	Agent	Health	9/25/2017	2/28/2022
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	2/28/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2017	2/28/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/12/2021	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2017	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/9/2017	2/28/2022
Inactive	American National Insurance Company	301861	Agent - Life	3/14/2019	10/17/2019
Inactive	American Republic Insurance Company	300861	Agent - Health	1/21/2020	10/28/2020
Inactive	American Republic Insurance Company	300861	Agent - Life	1/21/2020	10/28/2020
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	2/28/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/2017	2/28/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/2017	2/28/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2017	2/28/2022
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	2/6/2018	10/1/2019
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	2/6/2018	10/1/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/6/2018	10/1/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/6/2018	10/1/2019
Inactive	Columbus Life Insurance Company	301227	Agent - Life	10/4/2017	11/15/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2017	2/28/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/9/2017	2/28/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/4/2017	2/21/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/4/2017	2/21/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/10/2017	12/30/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/10/2017	12/30/2020
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Health	10/19/2017	4/29/2021
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Life	10/19/2017	4/29/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2017	2/28/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2017	2/28/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2017	2/28/2022
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2017	2/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2017	2/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2017	2/28/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/11/2017	2/28/2022
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	1/21/2020	10/28/2020
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	1/14/2019	1/27/2020
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	1/14/2019	1/27/2020
Inactive	Medico Insurance Company	301559	Agent - Health	1/16/2019	1/27/2020
Inactive	Medico Insurance Company	301559	Agent - Life	1/16/2019	1/27/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	10/31/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	10/31/2017	12/26/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/9/2017	1/16/2020
Inactive	Reserve National Insurance Company	301073	Agent - Health	1/15/2018	5/24/2021
Inactive	Reserve National Insurance Company	301073	Agent - Life	1/15/2018	5/24/2021
Inactive	SILAC Insurance Company	300535	Agent - Health	1/30/2019	11/10/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	1/30/2019	11/10/2020
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	10/25/2017	6/3/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/12/2021	2/28/2022
Inactive	United National Life Insurance Company	844837	Agent - Health	12/22/2017	2/28/2022
Inactive	United National Life Insurance Company	844837	Agent - Life	12/22/2017	2/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2017	9/5/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/11/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	9/5/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	9/5/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/11/2017	9/5/2019
Inactive	Washington National Insurance Company	300587	Agent - Health	5/16/2018	2/28/2022
Inactive	Washington National Insurance Company	300587	Agent - Life	5/16/2018	2/28/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/9/2017	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/9/2017	2/28/2022

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	10/10/2017	2/28/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2017	2/28/2022