DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Susan Diane	DOIID	325386	NAIC NPN	258774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/8/1993	6/1/2011
Inactive	Non Resident	Agent	Life	9/8/1993	6/1/2011
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	5/30/2000	12/27/2005
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/30/2000	12/27/2005
Inactive	American General Assurance Company	300586	Agent - Health	12/15/2003	9/27/2004
Inactive	American General Assurance Company	300586	Agent - Life	12/15/2003	9/27/2004
Inactive	Balboa Life Insurance Company	301327	Agent - Health	12/1/2004	12/1/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	12/1/2004	12/1/2005
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/6/1996	8/2/1999
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/6/1996	8/2/1999
Inactive	Federal Insurance Company	301144	Agent - Health	6/19/2000	9/18/2000
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/13/2007	1/21/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/13/2007	1/21/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	9/14/2005	12/21/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	9/14/2005	12/21/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/4/2004	6/1/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/1/2010	11/29/2010
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	9/8/1993	7/6/1999
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	9/8/1993	7/6/1999
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	7/2/1999	1/3/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	7/2/1999	1/3/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/15/2003	1/3/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/15/2003	1/3/2011
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	3/6/1996	8/2/1999
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	3/6/1996	8/2/1999
Inactive	Union Labor Life Insurance Company	301832	Agent - Health	5/19/1995	3/31/1997
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	5/19/1995	3/31/1997
Inactive	Union Security Life Insurance Company	300903	Agent - Health	12/10/2001	12/27/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Life	12/10/2001	12/27/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/1/2010	11/29/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/9/2010	11/29/2010
Inactive	Veterans Life Insurance Company	300589	Agent - Health	9/8/1993	7/6/1999
Inactive	Veterans Life Insurance Company	300589	Agent - Life	9/8/1993	7/6/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americall Corporation	520281	Agent - Life	2/9/2005	1/3/2011
Inactive	Americall Corporation	520281	Agent - Health	2/9/2005	3/31/2011