DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Crystal J	DOIID	553748	NAIC NPN	3223409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/27/2002	4/30/2017
Inactive	Non Resident	Agent	Casualty	12/12/2008	4/30/2017
Inactive	Non Resident	Agent	Life	9/27/2002	4/30/2017
Inactive	Non Resident	Agent	Property	7/20/2004	4/30/2017
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/27/2006	7/12/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/27/2006	7/12/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	9/27/2002	2/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	9/27/2002	2/20/2003
Inactive	Centre Insurance Company	301599	Agent - Property	3/31/2005	12/7/2005
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	11/21/2002	3/12/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	11/21/2002	3/12/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	1/14/2005	6/9/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	2/24/2009	6/16/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	1/18/2005	6/16/2015
Inactive	Liberty Life Insurance Company	301542	Agent - Health	7/30/2003	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/30/2003	6/30/2006
Inactive	National Western Life Insurance Company	301515	Agent - Health	10/24/2002	5/26/2003
Inactive	National Western Life Insurance Company	301515	Agent - Life	10/24/2002	5/26/2003
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/7/2010	6/1/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/7/2010	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/18/2011	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/18/2011	6/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	2/26/2013	6/2/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	2/26/2013	6/2/2015
Inactive	QBE First Enterprises LLC	610980	Agent - Health	10/16/2006	7/12/2010
Inactive	QBE First Enterprises LLC	610980	Agent - Life	10/16/2006	7/12/2010
Inactive	QBE First Enterprises LLC	610980	Agent - Property	10/16/2006	8/5/2013
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	11/25/2009	8/5/2013