DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jay R	DOIID	534788	NAIC NPN	7218703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	12/16/2015	11/30/2025
Active	Resident	Agent	Casualty	12/16/2015	11/30/2025
Active	Resident	Agent	Life	12/16/2015	11/30/2025
Active	Resident	Agent	Property	12/16/2015	11/30/2025
* 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	AIG Assurance Company	300897	Agent - Casualty	8/12/2008	9/29/2010
Inactive	AIG Assurance Company	300897	Agent - Property	8/12/2008	9/29/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/4/2006	10/17/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/4/2006	10/17/2008
Active	American Economy Insurance Company	300315	Agent - Casualty	5/21/2020
Active	American Economy Insurance Company	300315	Agent - Property	5/21/2020
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/23/2005	12/4/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	1/28/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	1/28/2012
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/6/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/6/2018
Inactive	Assurance Company of America	300432	Agent - Casualty	11/12/2002	7/22/2004
Inactive	Assurance Company of America	300432	Agent - Property	11/12/2002	7/22/2004
Active	Banner Life Insurance Company	301696	Agent - Life	11/11/2019
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	6/3/2008	10/27/2008
Inactive	Bedivere Insurance Company	300710	Agent - Property	6/3/2008	10/27/2008
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/18/2016
Active	Bristol West Insurance Company	301655	Agent - Property	11/18/2016
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/20/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/1/2001	7/22/2004
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/1/2001	7/22/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	6/3/2008	12/28/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	6/3/2008	12/28/2010
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/26/2004	7/22/2004
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/26/2004	7/22/2004
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/19/2016
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/19/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	1/28/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	1/28/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/18/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/18/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/18/2016	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/18/2016	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/18/2016	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/18/2016	8/29/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	1/28/2012
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	1/28/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	11/12/2002	7/22/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Property	11/12/2002	7/22/2004
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	9/29/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	9/29/2010
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/27/2018
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	2/27/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/25/2009	12/1/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/25/2009	12/1/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/25/2009	12/1/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/25/2009	12/1/2015
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/17/2002	7/22/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/17/2002	7/22/2004
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/12/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	7/12/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2006	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2006	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2006	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2006	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/4/2006	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/4/2006	11/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/17/2007	9/29/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/17/2007	9/29/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/12/2001	7/22/2004
Inactive	Indiana Insurance Company	301909	Agent - Property	9/11/2001	7/22/2004
Active	Integon Indemnity Corporation	300674	Agent - Casualty	2/13/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	2/13/2024
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	11/15/2002	7/22/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	11/15/2002	7/22/2004
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	6/3/2008	10/27/2008
Inactive	Lamorak Insurance Company	301231	Agent - Property	6/3/2008	10/27/2008
Inactive	Maryland Casualty Company	301719	Agent - Casualty	11/12/2002	7/22/2004
Inactive	Maryland Casualty Company	301719	Agent - Property	11/12/2002	7/22/2004
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/19/2016	12/25/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/19/2016	12/25/2020
Active	Milbank Insurance Company	925185	Agent - Casualty	7/31/2020
Active	Milbank Insurance Company	925185	Agent - Property	7/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/1/2001	7/22/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/1/2001	7/22/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/12/2002	7/22/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/12/2002	7/22/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2011	1/28/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2011	1/28/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	1/28/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	1/28/2012
Inactive	Omni Indemnity Company	301456	Agent - Casualty	9/30/2002	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	9/30/2002	10/8/2009
Active	Pacific Life Insurance Company	301848	Agent - Health	10/26/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	10/26/2023
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/1/2001	7/22/2004
Inactive	Peerless Insurance Company	301910	Agent - Property	11/1/2001	7/22/2004
Active	Plaza Insurance Company	300748	Agent - Casualty	4/28/2022
Active	Plaza Insurance Company	300748	Agent - Property	4/28/2022
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/21/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/21/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/21/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/21/2020
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/25/2005	12/1/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/25/2005	12/1/2015
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/13/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	4/13/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/14/2012	6/6/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/14/2012	6/6/2013
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	9/30/2002	7/22/2004
Inactive	Trumbull Insurance Company	300242	Agent - Property	9/30/2002	7/22/2004
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	1/30/2019
Active	Twin City Fire Insurance Company	300721	Agent - Property	1/30/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	1/28/2012
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	1/28/2012
Active	West Bend Insurance Company	672974	Agent - Casualty	11/3/2023
Active	West Bend Insurance Company	672974	Agent - Property	11/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Active	Jay Smith & Associates Insurance, Inc.	552569	Agent - Property	4/7/2016
Active	Jay Smith & Associates Insurance, Inc.	552569	Agent - Casualty	4/7/2016
Denied	Medlink Inc	400721	Agent - Health
Denied	Medlink Inc	400721	Agent - Life