DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith Jr, Walter S	DOIID	390672	NAIC NPN	7209147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/11/1994	7/1/1996
Inactive	Resident	Agent	Life	5/11/1994	7/1/1996
Inactive	Resident	Agent	Credit Life & Health	6/27/1995	3/31/1997
* 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	5/27/1994	7/1/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/27/1994	7/1/1996
Inactive	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	3/25/1996	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	6/27/1995	3/22/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	5/11/1994	7/1/1996
Inactive	Insurance One Inc.	399840	Agent - Health	5/11/1994	7/1/1996