DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Dennis Earl	DOIID	308748	NAIC NPN	548121

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/24/1994	7/1/2004
Inactive	Resident	Agent	Life	8/24/1994	7/1/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/25/1999	11/29/1999
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/25/1999	11/29/1999
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	10/11/1996	6/12/1998
Inactive	American Income Life Insurance Company	300256	Agent - Health	2/24/1998	4/17/1998
Inactive	American Income Life Insurance Company	300256	Agent - Life	2/24/1998	4/17/1998
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	10/20/1997	3/6/1998
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/20/1997	3/6/1998
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/16/2001	7/10/2003
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	12/31/1999	3/16/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	12/31/1999	3/16/2000
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	5/21/2001	7/10/2003
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	5/21/2001	7/10/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	5/19/1995	3/17/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	5/19/1995	3/17/1998
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/19/2001	3/14/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/19/2001	3/14/2003
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	5/10/2000	7/10/2003
Inactive	Encova Life Insurance Company	301818	Agent - Life	12/26/2001	7/10/2003
Inactive	Family Life Insurance Company	300356	Agent - Health	1/25/1996	1/29/1996
Inactive	Family Life Insurance Company	300356	Agent - Life	1/25/1996	1/29/1996
Inactive	Forethought Life Insurance Company	301407	Agent - Health	2/12/1997	3/24/1998
Inactive	Forethought Life Insurance Company	301407	Agent - Life	2/12/1997	3/24/1998
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/16/2001	1/11/2002
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/16/2001	1/11/2002
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	4/17/2000	7/23/2001
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	4/17/2000	7/23/2001
Inactive	IA American Life Insurance Company	301149	Agent - Health	1/19/1996	10/11/1996
Inactive	IA American Life Insurance Company	301149	Agent - Life	1/19/1996	10/11/1996
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	2/26/2001	7/15/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	2/26/2001	7/15/2002
Inactive	LifeSecure Insurance Company	301629	Agent - Life	10/30/2000	7/23/2001
Inactive	National States Insurance Company	300579	Agent - Health	5/30/1997	7/2/1998
Inactive	National States Insurance Company	300579	Agent - Life	5/30/1997	7/2/1998
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	8/31/1994	11/20/1997
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	8/31/1994	11/20/1997
Inactive	Physicians Life Insurance Company	300924	Agent - Life	1/7/1997	1/28/1997
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	1/7/1997	1/28/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/5/2001	7/1/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/5/2001	7/1/2004
Inactive	Settlers Life Insurance Company	300189	Agent - Life	12/26/2001	7/10/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/28/2001	8/5/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/28/2001	8/5/2002
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	3/27/1997	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	3/27/1997	5/2/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/24/1994	5/3/1999
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/24/1994	5/3/1999
Inactive	State Mutual Insurance Company	300359	Agent - Health	3/29/1999	11/24/1999
Inactive	State Mutual Insurance Company	300359	Agent - Life	3/29/1999	11/24/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/6/1996	5/19/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/6/1996	5/19/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/5/2001	7/1/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/5/2001	7/1/2004
Inactive	United American Insurance Company	300910	Agent - Health	10/20/2000	11/4/2002
Inactive	United American Insurance Company	300910	Agent - Life	10/20/2000	11/4/2002
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	10/26/1999	3/10/2000
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/26/1999	3/10/2000
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/21/1999	3/10/2000
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/21/1999	3/10/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior American Benefits, LLC	502287	Agent - Health	3/8/2000	3/5/2001
Inactive	Senior American Benefits, LLC	502287	Agent - Life	3/8/2000	3/5/2001
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	6/29/2004	7/1/2004