DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Farrell G	DOIID	354933	NAIC NPN	250908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/22/2009	11/30/2014
Inactive	Non Resident	Agent	Life	7/22/2009	11/30/2014
Inactive	Non Resident	Agent	Property	6/24/2002	1/31/2005
Inactive	Non Resident	Agent	Casualty	6/24/2002	1/31/2005
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	6/24/2002	8/6/2004
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	6/24/2002	8/6/2004
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	10/1/2003	8/6/2004
Inactive	21st Century North America Insurance Company	300884	Agent - Property	10/1/2003	8/6/2004
Inactive	21st Century Premier Insurance Company	301925	Agent - Casualty	6/24/2002	8/6/2004
Inactive	21st Century Premier Insurance Company	301925	Agent - Property	6/24/2002	8/6/2004
Inactive	American Home Assurance Company	300246	Agent - Casualty	10/1/2003	8/6/2004
Inactive	American Home Assurance Company	300246	Agent - Property	10/1/2003	8/6/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	10/12/1993	8/25/1997
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	10/12/1993	8/25/1997
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/3/2009	1/13/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/3/2009	1/13/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/3/2009	1/13/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/3/2009	1/13/2014
Inactive	Veterans Life Insurance Company	300589	Agent - Health	10/12/1993	8/25/1997
Inactive	Veterans Life Insurance Company	300589	Agent - Life	10/12/1993	8/25/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conner Strong & Buckelew Companies, LLC	502267	Agent - Casualty		1/31/2005
Inactive	Conner Strong & Buckelew Companies, LLC	502267	Agent - Property		1/31/2005
Inactive	GE Capital Agency, Inc.	524491	Agent - Casualty	7/15/2002	1/8/2004
Inactive	GE Capital Agency, Inc.	524491	Agent - Property	7/15/2002	1/8/2004