DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, David J	DOIID	755220	NAIC NPN	332814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/31/2011	11/30/2026
Active	Non Resident	Agent	Life	5/31/2011	11/30/2026
* 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	09/15/2026	11/30/2026

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	7/22/2015
Active	Aetna Life Insurance Company	301140	Agent - Health	7/22/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	7/22/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/8/2014	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/8/2014	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/30/2014	3/23/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/22/2015	6/15/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	7/22/2015	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/30/2014	3/23/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	5/6/2015	6/12/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/30/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/30/2014	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2014	3/23/2016
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/2/2012	12/17/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/2/2012	12/17/2019
Active	National Health Insurance Company	300554	Agent - Health	3/6/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	9/15/2011	7/6/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/7/2015	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/7/2015	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/7/2011	8/16/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/7/2011	8/16/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/26/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/26/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/26/2012	12/1/2016

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 - Life	11/8/2014	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/8/2014	11/2/2016