DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Mark	DOIID	1021290	NAIC NPN	17979283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/5/2018		12/31/2024
Active	Non Resident	Agent	Property	12/5/2018		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/3/2022		12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Everest Denali Insurance Company	941054	Agent - Casualty	6/18/2019	10/27/2023
Inactive	Everest Denali Insurance Company	941054	Agent - Property	6/18/2019	10/27/2023
Inactive	Everest National Insurance Company	301319	Agent - Casualty	4/17/2019	10/27/2023
Inactive	Everest National Insurance Company	301319	Agent - Property	4/17/2019	10/27/2023
Inactive	Everest Premier Insurance Company	941053	Agent - Casualty	6/18/2019	10/27/2023
Inactive	Everest Premier Insurance Company	941053	Agent - Property	6/18/2019	10/27/2023
Active	Navigators Insurance Company	301312	Agent - Casualty	5/17/2019
Active	Navigators Insurance Company	301312	Agent - Property	5/17/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Partners General Insurance Agency, LLC	1005841	Agent - Casualty	3/16/2022	8/30/2023
Inactive	Partners General Insurance Agency, LLC	1005841	Agent - Property	3/16/2022	8/30/2023
Active	Victor Insurance Managers LLC	518018	Agent - Casualty	7/30/2019
Active	Victor Insurance Managers LLC	518018	Agent - Property	7/30/2019