DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, David William	DOIID	1165302	NAIC NPN	16935060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/8/2021		12/31/2026
Active	Non Resident	Agent	Health	10/8/2021		12/31/2026
Active	Non Resident	Agent	Property	10/8/2021		12/31/2026
Active	Non Resident	Agent	Life	10/8/2021		12/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/3/2021		12/31/2026
* 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
Active	CorePointe Insurance Company	300406	Agent - Casualty	1/20/2022
Active	CorePointe Insurance Company	300406	Agent - Property	1/20/2022
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	1/20/2022
Active	Milford Casualty Insurance Company	301460	Agent - Property	1/20/2022
Active	Southern Insurance Company	301630	Agent - Casualty	1/20/2022
Active	Southern Insurance Company	301630	Agent - Property	1/20/2022
Active	Technology Insurance Company	613278	Agent - Casualty	1/20/2022
Active	Technology Insurance Company	613278	Agent - Property	1/20/2022
Active	Wesco Insurance Company	300534	Agent - Casualty	1/20/2022
Active	Wesco Insurance Company	300534	Agent - Health	1/20/2022
Active	Wesco Insurance Company	300534	Agent - Property	1/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Avant Underwriters, LLC	786281	Agent - Casualty	2/11/2022	3/31/2024
Inactive	Avant Underwriters, LLC	786281	Agent - Health	2/11/2022	3/31/2024
Inactive	Avant Underwriters, LLC	786281	Agent - Property	2/11/2022	3/31/2024
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	10/12/2022	12/2/2022
Denied	Specialty Program Group LLC	937234	Agent - Life
Inactive	Specialty Program Group LLC	937234	Agent - Health	10/12/2022	12/2/2022
Inactive	Specialty Program Group LLC	937234	Agent - Property	10/12/2022	12/2/2022
Active	Specialty Program Group LLC	937234	Surplus Lines Broker - Not Applicable	10/12/2022