DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Michael Dean	DOIID	355799	NAIC NPN	2062192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/24/1998	2/28/2022
Inactive	Non Resident	Agent	Health	8/24/1998	2/28/2022
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/24/1998	2/28/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/24/1998	2/28/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/28/2014	2/28/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/28/2014	2/28/2022
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	11/7/2006	1/3/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	11/7/2006	7/28/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/16/2004	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/16/2004	11/23/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/27/2005	12/15/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/27/2005	12/15/2014

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	10/5/1998	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/5/1998	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	2/28/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	2/28/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Life	6/5/2014	2/18/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014	2/18/2021
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	9/22/2004	5/15/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	9/22/2004	5/15/2014