DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Karen R	DOIID	819738	NAIC NPN	17031174

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/12/2017		2/28/2027
Active	Non Resident	Agent	Life	7/12/2017		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/27/2024	10/8/2026
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/27/2024	10/8/2026
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/21/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/21/2017
Inactive	Starmount Life Insurance Company	628031	Agent - Health	8/21/2017	10/1/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/21/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/21/2017
Active	Unum Insurance Company	301499	Agent - Health	8/21/2017
Active	Unum Insurance Company	301499	Agent - Life	8/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/21/2026
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Life	10/21/2026