DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Rozie Delorna	DOIID	315504	NAIC NPN	7162737

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/27/1995	7/1/1998
Inactive	Resident	Agent	Credit Life & Health	8/5/1991	5/19/1997
* 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	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	8/5/1991	5/19/1997
Inactive	Keyport Life Insurance Company	300319	Agent - Life	9/14/1995	7/1/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/12/1995	7/23/1997
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/27/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank One Lexington NA	399387	Agent - Credit Life & Health	2/9/1995	3/31/1997
Inactive	Liberty National Bank of Lexington	400675	Agent - Credit Life & Health	9/9/1991	5/19/1997