black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHANE SMITH

PRODUCER NON-RESIDENT

License Number:
PRN486656
Status:
First Licensure:
06/13/2024
Cancel Date:
None

Mailing:
SAINT JAMES, NY 11780
Phone:
+1 (631) 327-5021
Email:
shane@goldenyearsdesign.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/13/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
GOLDEN YEARS DESIGN BENEFITS, LLC
06/13/2024 AGN378654

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
02/21/2025 PCF44
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/02/2024 LHF214634
INSURANCE COMPANY OF NORTH AMERICA
09/13/2025 PCF480
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
10/12/2024 LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY
11/13/2024 LHF700 07/24/2025
WELLCARE OF MAINE, INC.
11/05/2024 HMD305081

Authority

Description Issue Date Termination Date Status
HEALTH 06/13/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20825390

Other Addresses

Address Type
55-77 SCHANCK RD STE A-14
FREEHOLD, NJ 07728-2986
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/17/2025 11:54:12 AM