DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Marti Ann	DOIID	788754	NAIC NPN	12854981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/15/2022		5/31/2026
Active	Non Resident	Agent	Life	3/15/2022		5/31/2026
* 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	03/15/2024	05/31/2024	03/27/2024	03/27/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/10/2015	6/9/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/4/2015	6/9/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/4/2015	6/9/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2015	6/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	2/6/2015	6/9/2016