DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Amy Elizabeth	DOIID	356061	NAIC NPN	651579

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/13/2010		12/31/2024
Active	Resident	Agent	Life	4/13/2010		12/31/2024
Active	Resident	Agent	Casualty	9/16/2003		12/31/2024
Active	Resident	Agent	Property	9/16/2003		12/31/2024
Inactive	Non Resident	Agent	General Lines	10/10/1996	10/22/1997
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ascot Surety & Casualty Company	811510	Agent - Casualty	8/6/2020	1/17/2022
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	1/6/2003	7/29/2003
Inactive	Government Employees Insurance Company	300376	Agent - General Lines	10/10/1996	10/22/1997
Inactive	Government Employees Insurance Company	300376	Agent - Property	1/6/2003	7/29/2003
Active	Great Midwest Insurance Company	301418	Agent - Casualty	10/10/2018
Active	Great Midwest Insurance Company	301418	Agent - Health	10/10/2018
Active	Great Midwest Insurance Company	301418	Agent - Property	10/10/2018
Active	Lexon Insurance Company	300352	Agent - Casualty	9/24/2014
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	10/6/2003	12/14/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/6/2003	12/14/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/6/2003	12/14/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/13/2010	12/14/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/13/2010	12/14/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/13/2010	12/14/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	10/6/2003	12/14/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	10/6/2003	12/14/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/6/2003	12/14/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/6/2003	12/14/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/6/2003	12/14/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/6/2003	12/14/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/7/2007	12/14/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/7/2007	12/14/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Casualty	9/24/2014
Denied	Acrisure LLC	696181	Agent - Property
Denied	Acrisure LLC	696181	Agent - Life
Inactive	Ditsler Insurance, Inc.	556242	Agent - Casualty	1/5/2004	11/23/2011
Inactive	Ditsler Insurance, Inc.	556242	Agent - Property	1/5/2004	11/23/2011
Inactive	SMA Surety, Inc.	521464	Agent - Casualty	9/24/2014	2/24/2015
Denied	SMA Surety, Inc.	521464	Agent - Property