DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Randy Keith	DOIID	695287	NAIC NPN	12457548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/29/2016	2/28/2026
Active	Resident	Agent	Life	8/29/2016	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
Inactive	Accendo Insurance Company	300312	Agent - Health	12/30/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/30/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/30/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	7/15/2020	6/5/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	2/24/2021	4/24/2025
Inactive	American General Life Insurance Company	301585	Agent - Life	2/24/2021	4/24/2025
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	4/22/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/4/2022	6/20/2024
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	7/25/2023	7/29/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/17/2012	3/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/17/2012	3/1/2014
Active	Athene Annuity and Life Company	301893	Agent - Life	4/12/2022
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	12/4/2019	1/8/2020
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	12/4/2019	1/8/2020
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	12/4/2019	1/8/2020
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/4/2019	1/8/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/9/2019	4/20/2020
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/9/2019	4/20/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/30/2021
Inactive	Everly Life Insurance Company	561641	Agent - Life	4/22/2015	6/29/2015
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	12/7/2009	5/6/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/25/2021	12/12/2022
Inactive	Great Western Insurance Company	501693	Agent - Life	12/22/2022	6/22/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	11/9/2021	12/20/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/13/2022	10/26/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/13/2022	10/26/2024
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/20/2021	5/3/2022
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/20/2021	5/3/2022
Active	MEMBERS Life Insurance Company	301289	Agent - Life	1/8/2025
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/26/2023
Inactive	Modern Woodmen of America	301213	Agent - Life	3/22/2021	11/16/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/1/2022	10/23/2023
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/27/2022	10/10/2024
Inactive	Royal Neighbors of America	301646	Agent - Life	4/17/2015	5/4/2015
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	1/19/2022	9/10/2024
Active	Security National Life Insurance Company	569786	Agent - Health	4/10/2025
Active	Security National Life Insurance Company	569786	Agent - Life	4/10/2025
Active	Senior Life Insurance Company	558267	Agent - Life	9/18/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/2/2011	7/2/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/2/2011	7/2/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/2/2011	7/2/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/2/2011	7/2/2012
Inactive	United Home Life Insurance Company	300421	Agent - Life	7/14/2022	12/2/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/27/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/27/2024
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	3/20/2017	6/13/2017
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	3/20/2017	6/13/2017
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	3/20/2017	6/13/2017
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/20/2017	6/13/2017
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/28/2024
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/28/2024

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 - Health	5/17/2012	3/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/17/2012	3/1/2014