DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Sallie A	DOIID	1275472	NAIC NPN	7107256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	5/18/2023		9/30/2025
Pending Replacement	Non Resident	Agent	Property	5/18/2023		9/30/2025
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	5/26/2023		9/30/2025
* 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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/7/2023	9/19/2025
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/7/2023	9/19/2025

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 - Casualty	6/9/2023	8/14/2024
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	6/9/2023	8/14/2024
Inactive	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	6/9/2023	8/14/2024