DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Derek B	DOIID	386297	NAIC NPN	7207306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	3/17/1997	8/7/2000
Inactive	Resident	Agent	Life	1/20/1998	12/31/2003
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2003
Inactive	Resident	Agent	Credit Personal Property & Unemployment	3/17/1997	8/7/2000
Inactive	Resident	Agent	Health	1/20/1998	12/31/2003
Inactive	Resident	Agent	Vehicle Physical Damage	6/8/2000	12/31/2003
* 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	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	3/17/1997	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	8/7/2000	11/19/2001
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	3/17/1997	8/7/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/20/2001	5/19/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	12/21/2000	5/19/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	8/7/2000	5/19/2003
Inactive	American Health and Life Insurance Company	300844	Agent - Health	2/22/2002	1/7/2003
Inactive	American Health and Life Insurance Company	300844	Agent - Life	2/22/2002	1/7/2003
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	12/21/2000	1/7/2003
Inactive	American Security Insurance Company	300901	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	American Security Insurance Company	300901	Agent - Limited Line Credit	8/7/2000	12/31/2003
Inactive	American Security Insurance Company	300901	Agent - Vehicle Physical Damage	6/22/2000	2/21/2003
Inactive	Associates Financial Life Insurance Company	301765	Agent - Credit Life & Health	8/23/1999	8/7/2000
Inactive	Associates Financial Life Insurance Company	301765	Agent - Health	12/20/1999	11/30/2001
Inactive	Associates Financial Life Insurance Company	301765	Agent - Life	12/20/1999	11/30/2001
Inactive	Associates Financial Life Insurance Company	301765	Agent - Limited Line Credit	8/7/2000	11/30/2001
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	5/11/1998	11/13/2001
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	5/11/1998	11/13/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - Credit Personal Property & Unemployment	12/21/1999	8/7/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Health	12/27/1999	11/30/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - Limited Line Credit	8/7/2000	11/30/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - Vehicle Physical Damage	6/8/2000	11/30/2001
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/20/1998	10/2/1998
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/20/1998	10/2/1998
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Health	7/1/1998	10/28/2002
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	7/1/1998	10/28/2002
Inactive	Standard Guaranty Insurance Company	300902	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	Standard Guaranty Insurance Company	300902	Agent - Limited Line Credit	8/7/2000	12/31/2003
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	12/21/2000	1/7/2003
Inactive	Triton Insurance Company	300654	Agent - Vehicle Physical Damage	12/21/2000	1/7/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	1/24/2003	12/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	12/31/2003