DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Dawn P	DOIID	352515	NAIC NPN	7192575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	10/4/1994	3/31/1998
Inactive	Resident	Agent	Life	2/13/1995	7/1/1998
Inactive	Resident	Agent	Health	2/13/1995	7/1/1998
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/14/1996	7/1/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/14/1996	7/1/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	3/8/1996	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	3/8/1996	3/9/1998
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/9/1995	6/9/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/13/1995	7/1/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/13/1995	7/1/1998
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	12/8/1994	6/2/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/26/1995	7/1/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/26/1995	7/1/1998
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	10/4/1994	3/31/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/5/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/5/1995	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	Universal Life Insurance Agency Inc.	400142	Agent - General Lines	8/16/1996	5/22/1997