DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Benjamin	DOIID	878679	NAIC NPN	17485508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/21/2015		4/30/2026
Active	Non Resident	Agent	Life	5/21/2015		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/21/2023	2/3/2026
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	5/26/2015	3/11/2026
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	5/26/2015	3/11/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Raymond James Insurance Group, Inc.	398342	Agent - Life
Pending	Raymond James Insurance Group, Inc.	398342	Agent - Health