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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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