DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keith, Michael Smith	DOIID	342199	NAIC NPN	7187995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/30/2010
Inactive	Resident	Agent	Health	6/17/1993	12/1/2000
Inactive	Resident	Agent	Life	6/17/1993	12/1/2000
Inactive	Resident	Agent	Credit Life & Health	4/7/1995	8/7/2000
* 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 Heritage Life Insurance Company	300272	Agent - Health	7/7/1993	4/17/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/7/1993	4/17/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/17/1993	1/22/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/17/1993	1/22/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/24/1995	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/24/1995	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/30/2006	6/30/2010
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/14/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	5/18/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/7/1995	9/9/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Farmers Bank & Trust Co.	400892	Agent - Credit Life & Health	5/30/1997	8/7/2000
Inactive	First Farmers Bank & Trust Co.	400892	Agent - Limited Line Credit	8/7/2000	6/30/2010