DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith III, Orma Rinehart	DOIID	390745	NAIC NPN	129940

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/9/1991	3/31/2018
Inactive	Non Resident	Agent	Life	1/9/1991	3/31/2018
* 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 General Life Insurance Company of Delaware	301057	Agent - Health	2/17/2005	9/1/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	9/1/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/17/2004	1/10/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/17/2004	1/10/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/4/2002	7/6/2012
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/9/1991	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/9/1991	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	8/5/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	8/5/2009
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	9/28/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	9/28/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/28/2000	3/31/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/28/2000	3/31/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/28/2000	3/31/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/28/2000	3/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simmons First Insurance Services Of TN LLC	657774	Agent - Life	3/18/2016	3/31/2018
Inactive	Simmons First Insurance Services Of TN LLC	657774	Agent - Health	3/18/2016	3/31/2018