DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Keyana	DOIID	970567	NAIC NPN	18548797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/3/2017	6/30/2026
Active	Non Resident	Agent	Life	10/3/2017	6/30/2026
* 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	04/15/2024	06/30/2024	05/08/2024	05/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/19/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	10/19/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/19/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	9/23/2021	10/13/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	9/23/2021	10/13/2023
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/3/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/3/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/6/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/6/2017
Active	Continental American Insurance Company	301700	Agent - Health	10/3/2017
Active	Continental American Insurance Company	301700	Agent - Life	10/3/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/19/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/19/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/13/2017
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/13/2017
Inactive	Pekin Life Insurance Company	300951	Agent - Health	8/10/2022	2/27/2024
Inactive	Pekin Life Insurance Company	300951	Agent - Life	8/10/2022	2/27/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/16/2018	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/16/2018	7/17/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	2/28/2019	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/16/2018	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/16/2018	7/17/2020
Inactive	Unum Insurance Company	301499	Agent - Health	2/28/2019	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	2/28/2019	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	2/1/2019