DEPARTMENT OF INSURANCE
Affiliations
NameSmith III, Charles BertramDOIID390239NAIC NPN5324649
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty8/15/2000 12/31/2024
ActiveResidentAgentHealth4/10/2001 12/31/2024
ActiveResidentAgentLife5/8/2001 12/31/2024
ActiveResidentAgentProperty8/15/2000 12/31/2024
InactiveResidentAgentGeneral Lines5/29/19968/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty5/22/200111/14/2019
InactiveACUITY, A Mutual Insurance Company300095Agent - Property5/22/200111/14/2019
InactiveAetna Health Inc.300694Agent - Health11/1/200112/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health12/31/2007 
ActiveAetna Life Insurance Company301140Agent - Health11/1/2001 
ActiveAetna Life Insurance Company301140Agent - Life11/1/2001 
ActiveAll Savers Insurance Company301940Agent - Health4/10/2017 
ActiveAll Savers Insurance Company301940Agent - Life4/10/2017 
InactiveAllianz Life Insurance Company of North America301791Agent - Health11/8/200111/19/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/8/200111/19/2007
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/1/2020 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/1/2020 
ActiveAmerican Fire and Casualty Company300567Agent - Casualty2/16/2006 
ActiveAmerican Fire and Casualty Company300567Agent - Property2/16/2006 
ActiveAmerican General Life Insurance Company301585Agent - Health9/3/2002 
ActiveAmerican General Life Insurance Company301585Agent - Life9/11/2017 
InactiveAmerican Select Insurance Company301229Agent - Casualty8/15/20008/4/2009
InactiveAmerican Select Insurance Company301229Agent - General Lines7/19/20008/15/2000
InactiveAmerican Select Insurance Company301229Agent - Property8/15/20008/4/2009
ActiveAmerican United Life Insurance Company300498Agent - Health4/3/2009 
ActiveAmerican United Life Insurance Company300498Agent - Life4/3/2009 
InactiveAmeritas Life Insurance Corporation300126Agent - Health8/11/20193/30/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Life8/11/20193/30/2021
InactiveAnsur America Insurance Company520667Agent - Casualty4/1/20103/5/2013
InactiveAnsur America Insurance Company520667Agent - Property4/1/20103/5/2013
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
InactiveAnthem Life Insurance Company301209Agent - Health4/10/20011/29/2010
InactiveAnthem Life Insurance Company301209Agent - Life5/8/20011/29/2010
InactiveAssurity Life Insurance Company301099Agent - Health8/27/201412/23/2016
InactiveAssurity Life Insurance Company301099Agent - Life8/27/201412/23/2016
InactiveAthene Annuity and Life Company301893Agent - Life9/23/20085/27/2009
ActiveAuto-Owners Life Insurance Company301368Agent - Health4/11/2022 
ActiveAuto-Owners Life Insurance Company301368Agent - Life4/11/2022 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/2000 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines1/26/19998/15/2000
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/2000 
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/11/201110/5/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/11/201110/5/2021
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/200012/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines5/20/19988/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/200012/5/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Health7/2/20014/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/2/20014/1/2007
ActiveCincinnati Casualty Company (The)300308Agent - Casualty6/17/2004 
ActiveCincinnati Casualty Company (The)300308Agent - Property6/17/2004 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty6/17/2004 
ActiveCincinnati Indemnity Company (The)301566Agent - Property6/17/2004 
ActiveCincinnati Insurance Company301298Agent - Casualty6/17/2004 
ActiveCincinnati Insurance Company301298Agent - Property6/17/2004 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health6/17/2004 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life6/17/2004 
InactiveCompBenefits Dental, Inc.591692Agent - Health1/11/201112/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health11/30/2020 
InactiveCompBenefits Insurance Company301864Agent - Life11/20/20087/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
InactiveConseco Health Insurance Company301725Agent - Health3/30/20048/7/2006
InactiveConseco Health Insurance Company301725Agent - Life3/30/20048/7/2006
InactiveConseco Insurance Company301202Agent - Health11/30/20041/23/2007
InactiveConseco Insurance Company301202Agent - Life11/30/20041/23/2007
InactiveConsolidated Insurance Company300943Agent - Casualty9/8/200710/13/2022
InactiveConsolidated Insurance Company300943Agent - Property9/8/200710/13/2022
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/200010/11/2001
InactiveContinental Insurance Company (The)301242Agent - General Lines7/2/19988/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/200010/11/2001
ActiveDearborn Life Insurance Company300401Agent - Health10/24/2016 
ActiveDearborn Life Insurance Company300401Agent - Life10/24/2016 
ActiveDental Care Plus Inc.301495Agent - Health12/18/2013 
ActiveDental Concern Inc. (The)301641Agent - Health10/2/2007 
ActiveEMC National Life Company300388Agent - Life8/23/2017 
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/5/2013
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/5/2013
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health7/2/200110/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life7/2/200110/28/2008
ActiveFidelity Security Life Insurance Company300466Agent - Health7/8/2005 
ActiveFidelity Security Life Insurance Company300466Agent - Life7/8/2005 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/15/2000 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - General Lines12/15/19988/15/2000
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/15/2000 
InactiveForemost Signature Insurance Company300140Agent - Casualty8/15/200012/1/2003
InactiveForemost Signature Insurance Company300140Agent - General Lines12/15/19988/15/2000
InactiveForemost Signature Insurance Company300140Agent - Property8/15/200012/1/2003
InactiveFrankenmuth Insurance Company301481Agent - Casualty4/1/20103/5/2013
InactiveFrankenmuth Insurance Company301481Agent - Property4/1/20103/5/2013
InactiveGenworth Life Insurance Company300623Agent - Health8/24/201512/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life8/24/201512/14/2016
InactiveGolden Rule Insurance Company301943Agent - Health1/5/201512/13/2020
InactiveGolden Rule Insurance Company301943Agent - Life1/5/201512/15/2020
InactiveGreat American Insurance Company301586Agent - Casualty8/15/20008/5/2002
InactiveGreat American Insurance Company301586Agent - General Lines1/21/19998/15/2000
InactiveGreat American Insurance Company301586Agent - Property8/15/20008/5/2002
ActiveGuardian Life Insurance Company of America301316Agent - Health4/11/2011 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/11/2011 
ActiveHartford Life and Accident Insurance Company300878Agent - Health11/26/2018 
ActiveHartford Life and Accident Insurance Company300878Agent - Life11/26/2018 
ActiveHealth Resources Inc.301210Agent - Health6/19/2024 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/5/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health2/5/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health7/24/2001 
ActiveHumana Insurance Company301104Agent - Health6/11/2001 
ActiveHumana Insurance Company301104Agent - Life6/11/2001 
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/11/20176/15/2018
ActiveHumana Insurance Company of Kentucky300826Agent - Life7/3/2018 
ActiveHumana Medical Plan, Inc.801568Agent - Health2/5/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/5/2021 
InactiveHumanaDental Insurance Company301457Agent - Health10/2/20075/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life10/2/20075/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health6/5/200211/14/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Life6/5/200211/14/2008
InactiveIndiana Insurance Company301909Agent - Casualty9/8/20072/3/2023
InactiveIndiana Insurance Company301909Agent - Property9/8/20072/3/2023
InactiveJackson National Life Insurance Company300486Agent - Life4/22/20022/14/2005
InactiveJohn Alden Life Insurance Company300573Agent - Health10/16/20011/24/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life10/16/20011/24/2013
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/2/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/2/200712/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20086/8/2011
InactiveKanawha Insurance Company300127Agent - Health11/21/20158/9/2018
InactiveKanawha Insurance Company300127Agent - Life11/21/20158/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health3/3/201410/29/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health8/23/20019/11/2003
InactiveKentucky Home Life Insurance Company300477Agent - Life8/23/20019/11/2003
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health12/28/2021 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Life12/28/2021 
InactiveMedical Life Insurance Company300693Agent - Health4/2/200212/31/2004
InactiveMedical Life Insurance Company300693Agent - Life4/2/200212/31/2004
InactiveMetLife Investors USA Insurance Company300845Agent - Health4/7/20081/7/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/7/200812/31/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health2/26/200411/19/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life2/26/200411/19/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health6/16/20126/24/2013
ActiveNational Guardian Life Insurance Company300596Agent - Health3/30/2021 
ActiveNational Health Insurance Company300554Agent - Health2/21/2020 
ActiveNational Health Insurance Company300554Agent - Life2/21/2020 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/15/2000 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines2/22/20008/15/2000
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/15/2000 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty9/8/20074/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property9/8/20074/26/2024
InactiveNorth American Company for Life and Health Insurance300291Agent - Life3/14/200211/8/2004
ActiveOhio Casualty Insurance Company301492Agent - Casualty8/15/2000 
InactiveOhio Casualty Insurance Company301492Agent - General Lines5/29/19968/15/2000
ActiveOhio Casualty Insurance Company301492Agent - Property8/15/2000 
InactiveOhio Farmers Insurance Company301667Agent - Casualty8/15/20008/4/2009
InactiveOhio Farmers Insurance Company301667Agent - General Lines7/19/20008/15/2000
InactiveOhio Farmers Insurance Company301667Agent - Property8/15/20008/4/2009
ActiveOhio Security Insurance Company300622Agent - Casualty2/16/2006 
ActiveOhio Security Insurance Company300622Agent - Property2/16/2006 
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health6/11/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life6/11/20013/31/2003
InactiveOmaha Insurance Company751908Agent - Health11/18/20148/8/2018
ActivePan-American Life Insurance Company301530Agent - Health3/27/2011 
ActivePan-American Life Insurance Company301530Agent - Life3/27/2011 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty9/8/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Property9/8/2007 
ActivePeerless Insurance Company301910Agent - Casualty9/8/2007 
ActivePeerless Insurance Company301910Agent - Property9/8/2007 
InactivePeoples Benefit Life Insurance Company301895Agent - Health7/5/200210/1/2007
InactivePeoples Benefit Life Insurance Company301895Agent - Life7/5/200210/1/2007
InactivePrincipal Life Insurance Company300129Agent - Health2/22/200212/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life2/22/200212/8/2008
ActivePrincipal National Life Insurance Company301926Agent - Life1/14/2017 
ActiveProtective Life Insurance Company300638Agent - Health4/1/2007 
ActiveProtective Life Insurance Company300638Agent - Life4/1/2007 
ActiveProvident Life and Accident Insurance Company301525Agent - Health11/3/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life11/3/2022 
InactivePruco Life Insurance Company300954Agent - Life11/25/20025/16/2007
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/2000 
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines1/26/19998/15/2000
ActiveStandard Fire Insurance Company (The)301068Agent - Property8/15/2000 
InactiveStandard Insurance Company300185Agent - Health8/19/200912/5/2022
InactiveStandard Insurance Company300185Agent - Life8/19/200912/5/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Health4/22/20028/17/2010
InactiveStandard Life and Accident Insurance Company301534Agent - Life4/22/20028/17/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Health2/6/200912/27/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life2/6/200912/27/2018
ActiveStarmount Life Insurance Company628031Agent - Health11/3/2022 
InactiveState Life Insurance Company301497Agent - Health10/1/20027/26/2005
InactiveState Life Insurance Company301497Agent - Life10/1/20027/26/2005
InactiveStonebridge Life Insurance Company301614Agent - Health7/25/20075/19/2008
InactiveStonebridge Life Insurance Company301614Agent - Life7/25/20075/19/2008
ActiveSun Life Assurance Company of Canada301811Agent - Health8/9/2016 
ActiveSun Life Assurance Company of Canada301811Agent - Life8/9/2016 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health8/23/20017/7/2004
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life8/23/20017/7/2004
ActiveSuperior Dental Care Inc.300418Agent - Health12/28/2009 
InactiveSymetra Life Insurance Company301691Agent - Health11/22/200212/16/2005
InactiveSymetra Life Insurance Company301691Agent - Life11/22/200212/16/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/22/20027/21/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/22/20027/21/2009
ActiveThe Phoenix Insurance Company301502Agent - Casualty8/15/2000 
InactiveThe Phoenix Insurance Company301502Agent - General Lines5/20/19988/15/2000
ActiveThe Phoenix Insurance Company301502Agent - Property8/15/2000 
InactiveTime Insurance Company300683Agent - Health10/30/201211/25/2019
InactiveTime Insurance Company300683Agent - Life10/30/201211/25/2019
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/1/20075/19/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/1/20075/19/2008
InactiveTravCo Insurance Company301828Agent - Casualty8/15/200012/5/2013
InactiveTravCo Insurance Company301828Agent - General Lines2/8/20008/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/200012/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200212/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200212/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/200612/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/200612/5/2013
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/20068/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/20068/2/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/18/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/18/2005 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - General Lines5/20/19988/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/200012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines5/20/19988/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines5/20/19988/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/15/200012/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty8/15/200012/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - General Lines5/20/19988/15/2000
InactiveTravelers Property Casualty Company of America301649Agent - Property8/15/200012/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/200212/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/200212/5/2013
InactiveU.S. Financial Life Insurance Company301812Agent - Life7/5/200510/3/2007
ActiveUNUM Life Insurance Company of America300817Agent - Health11/3/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life11/3/2022 
ActiveUnited World Life Insurance Company300532Agent - Health8/22/2023 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/16/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/16/201112/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/9/2015 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/17/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/14/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/17/2024 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/17/2024 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health11/9/2015 
ActiveUnum Insurance Company301499Agent - Health11/3/2022 
ActiveUnum Insurance Company301499Agent - Life11/3/2022 
ActiveWest American Insurance Company301112Agent - Casualty2/16/2006 
ActiveWest American Insurance Company301112Agent - Property2/16/2006 
InactiveWest Coast Life Insurance Company301607Agent - Life1/4/20029/8/2009
InactiveWestfield Insurance Company301950Agent - Casualty8/15/20004/10/2012
InactiveWestfield Insurance Company301950Agent - General Lines7/19/20008/15/2000
InactiveWestfield Insurance Company301950Agent - Property8/15/20004/10/2012
InactiveWestfield National Insurance Company301036Agent - Casualty8/15/20008/4/2009
InactiveWestfield National Insurance Company301036Agent - General Lines7/19/20008/15/2000
InactiveWestfield National Insurance Company301036Agent - Property8/15/20008/4/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life5/14/20016/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health5/14/20016/23/2008
InactiveC K Ash & Associates Inc.399142Agent - General Lines3/10/19978/15/2000
ActiveC K Ash & Associates Inc.399142Agent - Life3/14/2003 
ActiveC K Ash & Associates Inc.399142Agent - Health3/14/2003 
ActiveC K Ash & Associates Inc.399142Agent - Property8/15/2000 
ActiveC K Ash & Associates Inc.399142Agent - Casualty8/15/2000 
ActiveCBISA Reaquisitian Corp547026Agent - Life1/4/2010 
ActiveCBISA Reaquisitian Corp547026Agent - Health1/4/2010 
InactiveDental Choice Agency Inc.398085Agent - Health8/13/20021/14/2014
ActiveDesignated Agent Company Inc.681257Agent - Life12/13/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 
InactiveMedlink Inc400721Agent - Life1/1/20023/31/2024
InactiveMedlink Inc400721Agent - Health1/1/20023/31/2024
ActivePlanchoice Inc.400482Agent - Life5/8/2014 
ActivePlanchoice Inc.400482Agent - Health5/8/2014 

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