DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Ken Edward	DOIID	351472	NAIC NPN	7192088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	3/22/2004	12/9/2015
Inactive	Resident	Agent	Health	8/5/2014	12/9/2015
Inactive	Resident	Agent	Life	7/29/2014	12/9/2015
Inactive	Resident	Agent	Casualty	3/22/2004	12/9/2015
* 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	AIG Assurance Company	300897	Agent - Casualty	4/26/2005	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/26/2005	9/28/2010
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/22/2001	7/1/2002
Inactive	Allstate Insurance Company	300773	Agent - Property	5/21/2001	7/1/2002
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/26/2006	7/22/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/26/2006	7/22/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/20/2015	12/9/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/14/2004	12/23/2010
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	6/17/2005	7/12/2007
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	6/17/2005	7/12/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/17/2005	7/12/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/17/2005	7/12/2007
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/14/2008	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/14/2008	8/20/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/17/2005	7/12/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/17/2005	7/12/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/20/2006	11/26/2007
Inactive	First National Insurance Company of America	301690	Agent - Property	9/20/2006	11/26/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/13/2006	8/21/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/13/2006	8/21/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/20/2006	11/26/2007
Inactive	General Insurance Company of America	300261	Agent - Property	9/20/2006	11/26/2007
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	9/28/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	9/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/17/2007	8/25/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/17/2007	8/25/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	6/17/2005	7/12/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	6/17/2005	7/12/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	9/13/1995	3/25/1996
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	9/13/1995	3/25/1996
Inactive	Physicians Life Insurance Company	300924	Agent - Life	8/11/2015	10/26/2015
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	8/11/2015	10/26/2015
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	9/28/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	9/28/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/22/2014	7/29/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/22/2014	7/29/2015
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/8/2006	2/28/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/8/2006	2/28/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/20/2006	11/26/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/20/2006	11/26/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/20/2006	11/26/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/20/2006	11/26/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/8/1995	7/1/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/8/1995	7/1/1996
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	8/1/2008	2/13/2014
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	12/16/2008	2/13/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	4/14/2008	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	4/14/2008	8/20/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/8/2006	2/28/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	8/8/2006	2/28/2014
Inactive	Veterans Life Insurance Company	300589	Agent - Health	9/13/1995	3/25/1996
Inactive	Veterans Life Insurance Company	300589	Agent - Life	9/13/1995	3/25/1996
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	8/11/2014	9/18/2015
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	8/11/2014	9/18/2015
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	8/11/2014	9/18/2015
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	8/11/2014	9/18/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Autoinsurance Network, Inc.	398917	Agent - Property
Inactive	Autoinsurance Network, Inc.	398917	Agent - Casualty	1/31/2005	2/28/2014
Inactive	Pike Insurance Agency LLC	740224	Agent - Property	7/22/2014	7/21/2015
Inactive	Pike Insurance Agency LLC	740224	Agent - Casualty	7/22/2014	7/21/2015