DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jazmin	DOIID	969551	NAIC NPN	18538183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2023		10/31/2026
* 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	08/15/2026	10/31/2026

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	9/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2023	8/29/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/2/2026	3/11/2026
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/6/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/10/2025	3/5/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/1/2019	5/5/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/5/2024	8/29/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/1/2023	8/29/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/16/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2023	8/29/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/15/2018	12/10/2018
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/15/2026	3/10/2026
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/2/2026	3/11/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/2/2026	3/11/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2020	10/31/2020
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/20/2025	12/17/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/7/2020	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	3/18/2024	12/6/2024