DEPARTMENT OF INSURANCE

Affiliations

Name	Hutchison-Smith, Sandra Faye	DOIID	353308	NAIC NPN	1488784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	1/27/1999	3/1/2001
Inactive	Resident	Agent	General Lines	2/19/1993	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	5/1/2018
Inactive	Resident	Agent	Property	8/15/2000	5/1/2018
Inactive	Resident	Agent	Health	3/20/1995	5/1/2018
Inactive	Resident	Agent	Casualty	8/15/2000	5/1/2018
Inactive	Resident	Agent	Life	3/20/1995	5/1/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	8/21/2001	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/21/2001	11/21/2007
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/10/2016	5/1/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/10/2016	5/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/3/1998	5/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/3/1998	5/1/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/30/2004	11/5/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/30/2004	11/5/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/16/2017	5/1/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/16/2017	5/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/14/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/4/2017	5/1/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/4/2017	5/1/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/3/2008	5/1/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/3/2008	5/1/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/17/2006	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/17/2006	11/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/14/2004	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/27/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2005	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	2/25/2005	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/14/2004	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/14/2004	7/14/2014
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/23/2001	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/23/2001	11/14/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/5/2005	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/5/2005	11/19/2008
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	8/15/2000	5/1/2018
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	5/6/1993	8/15/2000
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2000	5/1/2018
Inactive	Nationwide General Insurance Company	300603	Agent - General Lines	9/25/1997	8/15/2000
Inactive	Nationwide General Insurance Company	300603	Agent - Property	8/15/2000	5/1/2018
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	5/1/2018
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	5/1/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/20/1995	5/1/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/20/1995	5/1/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	3/15/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/23/2001	5/1/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	5/1/2018
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	2/19/1993	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	5/1/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	5/1/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	2/19/1993	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	5/1/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	5/1/2018
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	2/19/1993	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	5/1/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/10/2005	6/8/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/10/2005	6/8/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/2/2007	10/16/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/2/2007	10/16/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/12/1998	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/12/1998	6/23/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/8/2005	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/29/2008	5/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/29/2008	5/1/2018
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	7/11/2005	5/1/2018
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	7/11/2005	5/1/2018