DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Michael Thomas	DOIID	1016576	NAIC NPN	9156521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/24/2018	12/31/2020
Inactive	Non Resident	Agent	Casualty	10/24/2018	12/31/2020
* 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
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/1/2018	5/4/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/1/2018	5/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	11/6/2018	5/4/2020
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	11/6/2018	5/4/2020