DEPARTMENT OF INSURANCE
Affiliations
NameSmith III, Forrest DDOIID503336NAIC NPN1617403
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/25/20005/31/2004 
InactiveNon ResidentAgentHealth2/25/20005/31/2004 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20015/31/2004 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDelaware Life Insurance Company301256Agent - Life12/31/20035/31/2004
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities12/31/20035/31/2004
InactiveEverlake Life Insurance Company300873Agent - Life1/29/20014/9/2004
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities4/12/20014/9/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/3/20035/31/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/3/20034/8/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities10/3/20034/8/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/4/20005/31/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/4/20005/31/2004
InactiveKeyport Life Insurance Company300319Agent - Life6/20/200312/31/2003
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities6/20/200312/31/2003
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life5/4/200012/31/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life7/27/20001/22/2002
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/16/20034/8/2004
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/16/20034/8/2004
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities10/16/20034/8/2004
InactiveNationwide Life Insurance Company300495Agent - Health4/1/20035/31/2004
InactiveNationwide Life Insurance Company300495Agent - Life4/1/20035/31/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/1/20035/31/2004
InactivePHL Variable Insurance Company300525Agent - Health7/2/20015/31/2004
InactivePHL Variable Insurance Company300525Agent - Life7/2/20012/13/2004
InactivePacific Life Insurance Company301848Agent - Health11/14/20015/31/2004
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/14/20015/31/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/24/20005/31/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/24/20005/31/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities8/6/20015/31/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/24/20005/31/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/24/20005/31/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/6/20015/31/2004
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health2/25/20005/31/2004
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life2/25/20005/31/2004
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities3/29/20015/31/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life7/5/20015/31/2004
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health7/5/20015/31/2004
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities7/5/20015/31/2004

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