DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Carol Jean	DOIID	368225	NAIC NPN	7199438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/3/1999	9/30/2012
Inactive	Resident	Agent	Property	8/15/2000	9/30/2012
Inactive	Resident	Agent	General Lines	7/28/1999	8/15/2000
Inactive	Resident	Agent	Life	8/3/1999	9/30/2012
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2012
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	7/28/1999	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	3/11/2002
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Allstate Insurance Company	300773	Agent - General Lines	7/28/1999	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	3/11/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/17/2001	11/15/2005
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/17/2001	11/15/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/25/2004	5/1/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/25/2004	5/1/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Health	8/3/1999	3/11/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/3/1999	3/11/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/14/2001	9/25/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/8/1999	9/25/2002
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	3/26/2002	4/5/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/27/2005	4/5/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/27/2005	4/5/2007
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/26/2002	4/5/2007
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/26/2002	4/5/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/26/2002	4/5/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/26/2002	4/5/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/26/2002	4/5/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/26/2002	4/5/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/26/2002	4/5/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/26/2002	4/5/2007
Inactive	Omni Indemnity Company	301456	Agent - Casualty	7/21/2009	9/30/2012
Inactive	Omni Indemnity Company	301456	Agent - Property	7/21/2009	9/30/2012
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	10/2/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	10/2/2000	12/11/2002
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/21/2007	9/30/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/21/2007	9/30/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	1/2/2002	7/2/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Property	1/2/2002	7/2/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/21/2007	9/30/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/21/2007	9/30/2012
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	1/2/2002	7/2/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	1/2/2002	7/2/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/2/2000	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/2/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/2/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/2/2000	12/30/2009
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/21/2007	9/30/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	5/21/2007	9/30/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/15/2007	4/5/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/15/2007	4/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Multi-Line Insurance Agencies of KY, LLC	545170	Agent - Property	6/17/2009	9/30/2012
Inactive	Multi-Line Insurance Agencies of KY, LLC	545170	Agent - Casualty	6/17/2009	9/30/2012