DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Shirley Jane	DOIID	856589	NAIC NPN	17382213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/1/2022		2/28/2027
Active	Non Resident	Agent	Life	11/1/2022		2/28/2027
Inactive	Non Resident	Agent	Personal Lines	10/19/2017	2/28/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	11/4/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/4/2022
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/22/2017	8/8/2018
Active	Combined Insurance Company of America	301472	Agent - Health	10/18/2024
Active	Combined Insurance Company of America	301472	Agent - Life	10/18/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2014	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2014	3/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2014	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2014	3/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2014	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2014	3/31/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	10/23/2017	2/28/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/22/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/22/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	3/22/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/22/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/4/2015	11/6/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/4/2015	11/6/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	11/6/2015
Active	Unum Insurance Company	301499	Agent - Health	3/22/2024
Active	Unum Insurance Company	301499	Agent - Life	3/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022
Denied	Hodges-Mace LLC	1059189	Agent - Life