DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Crystal N	DOIID	312389	NAIC NPN	7161372

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/24/1994	7/1/2004
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2006
Inactive	Resident	Agent	Credit Life & Health	10/26/1995	8/7/2000
Inactive	Resident	Agent	Life	3/24/1994	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	American Modern Life Insurance Company	301606	Agent - Limited Line Credit	11/3/2003	12/31/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	2/17/2000	10/18/2003
Inactive	Augustar Life Insurance Company	301816	Agent - Life	2/17/2000	10/18/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	6/8/2001	4/7/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/20/1997	12/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/20/1997	12/31/1998
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/26/1999	8/30/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	1/26/1999	8/30/2000
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/16/1996	12/15/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/26/1995	4/13/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/24/1994	7/9/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/24/1994	7/9/2003
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/24/1994	7/1/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	7/28/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	10/1/1998	12/31/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	10/1/1998	12/31/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/31/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/11/2003	7/1/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/11/2003	7/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2001	1/23/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/28/1998	12/31/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/28/1998	12/31/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/27/1994	7/1/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/27/1994	7/1/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/14/1995	9/22/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Bank-N.A.	399936	Agent - Credit Life & Health	7/2/1997	8/7/2000
Inactive	Star Bank-N.A.	399936	Agent - Limited Line Credit	8/7/2000	5/31/2004