DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Teddi J	DOIID	337418	NAIC NPN	7185936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	1/11/1995	3/13/1998
Inactive	Resident	Agent	Life	8/15/1995	5/31/2000
Inactive	Resident	Agent	Casualty	5/22/2001	6/30/2006
Inactive	Resident	Agent	Property	5/22/2001	6/30/2006
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/16/2004	10/7/2005
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	2/4/2002	6/30/2006
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	2/4/2002	6/30/2006
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/20/2005	12/1/2005
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/20/2005	12/1/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/20/2005	12/1/2005
Inactive	Indiana Insurance Company	301909	Agent - Property	7/20/2005	12/1/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/20/2005	12/1/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/20/2005	12/1/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/22/2001	2/20/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/22/2001	2/20/2006
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/20/2005	12/1/2005
Inactive	Peerless Insurance Company	301910	Agent - Property	7/20/2005	12/1/2005
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	1/11/1995	3/13/1998
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/15/1995	3/13/1998
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	1/11/1995	3/13/1998
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	9/8/1999	5/31/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peoples Insurance Agency LLC	517977	Agent - Property	7/2/2004	6/30/2006
Inactive	Peoples Insurance Agency LLC	517977	Agent - Casualty	7/2/2004	6/30/2006
Inactive	Putnam Agency Inc.	400302	Agent - Property	2/10/2003	1/18/2005
Inactive	Putnam Agency Inc.	400302	Agent - Casualty	2/10/2003	1/18/2005