DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Mark Wallace	DOIID	568931	NAIC NPN	543817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/7/2021	2/28/2026
Active	Non Resident	Agent	Health	5/7/2021	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/30/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/17/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/17/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	11/17/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/7/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/7/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/7/2021	4/15/2025
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014	2/29/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	2/29/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/5/2014	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/11/2012	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/11/2012	8/20/2012
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/5/2014	12/5/2014
Inactive	General American Life Insurance Company	300280	Agent - Health	1/28/2005	12/16/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	1/28/2005	12/16/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/24/2011	3/30/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/24/2011	3/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/5/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/5/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/5/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/11/2012	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/11/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/11/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/11/2012	8/20/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/14/2009	2/29/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/10/2011	4/2/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/5/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/5/2014	12/5/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	6/27/2011	11/14/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	6/27/2011	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/27/2011	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/27/2011	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/27/2011	2/29/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/27/2011	2/29/2016
Inactive	New England Life Insurance Company	300343	Agent - Health	1/28/2005	6/7/2011
Inactive	New England Life Insurance Company	300343	Agent - Life	1/28/2005	6/7/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/28/2010	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/28/2010	9/9/2015
Active	SilverScript Insurance Company	663526	Agent - Health	11/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/30/2011	6/10/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/28/2010	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/28/2010	9/9/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2009	2/29/2016
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/15/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/28/2009	2/29/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/15/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/13/2021	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/13/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/2/2003	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/2/2003	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	2/29/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	2/29/2016