DEPARTMENT OF INSURANCE

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		10/31/2024
* 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	08/15/2024	10/31/2024

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
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2023
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/6/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/1/2019	5/5/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/5/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2018	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	12/1/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/16/2017	6/8/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/15/2018	12/10/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2020	10/31/2020
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
Active	Trubridge Inc	717747	Agent - Health	3/18/2024