DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, D'anne Marie	DOIID	307384	NAIC NPN	7158904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/31/2008	6/30/2026
Active	Resident	Agent	Property	7/31/2008	6/30/2026
Active	Resident	Independent Adjuster	Property & Casualty	6/16/1997	6/30/2026
* 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	04/15/2024	06/30/2024	05/17/2024	05/17/2024	Yes
Independent Adjuster	04/15/2024	06/30/2024	05/17/2024	05/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/2/2012	8/8/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/2/2012	8/8/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/30/2015	8/8/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/30/2015	8/8/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/13/2012	8/2/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/13/2012	8/2/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/30/2015	8/8/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/13/2012	8/2/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/13/2012	8/2/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/11/2013	7/3/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	11/11/2013	7/3/2018
Inactive	Grange Insurance Company	300234	Agent - Casualty	11/11/2013	7/3/2018
Inactive	Grange Insurance Company	300234	Agent - Property	11/11/2013	7/3/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2013	7/3/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2013	7/3/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	3/30/2015	8/8/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/30/2015	8/8/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/30/2015	8/8/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/30/2015	8/8/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/30/2015	8/8/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/30/2015	8/8/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	3/30/2015	8/8/2018
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/30/2014	6/20/2017
Inactive	RLI Insurance Company	301217	Agent - Property	6/30/2014	6/20/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/27/2012	8/8/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/27/2012	8/8/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/27/2012	8/8/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/27/2012	8/8/2018
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/5/2018
Active	State Farm Fire and Casualty Company	301809	Agent - Property	9/5/2018
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	7/31/2008	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	7/31/2008	11/18/2010
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/5/2018
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	11/11/2013	7/3/2018
Inactive	Trustgard Insurance Company	300104	Agent - Property	11/11/2013	7/3/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	3/30/2015	8/8/2018
Inactive	West American Insurance Company	301112	Agent - Property	3/30/2015	8/8/2018
Inactive	West Bend Insurance Company	672974	Agent - Casualty	7/11/2016	8/28/2018
Inactive	West Bend Insurance Company	672974	Agent - Property	7/11/2016	8/28/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Casualty	6/1/2017	8/1/2018
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Property	6/1/2017	8/1/2018
Inactive	Select Insurance, Llc	779284	Agent - Casualty	7/13/2012	6/9/2017
Inactive	Select Insurance, Llc	779284	Agent - Property	7/13/2012	6/9/2017
Active	State Farm Mutual Automobile Insurance Company	301732	Independent Adjuster - Property & Casualty	6/16/1997