DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Donna Sue	DOIID	553921	NAIC NPN	7325258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/23/2002	4/30/2007
Inactive	Non Resident	Agent	Health	12/23/2002	4/30/2007
* 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 Public Life Insurance Company	300252	Agent - Health	1/11/2007	4/30/2007
Inactive	American Public Life Insurance Company	300252	Agent - Life	1/11/2007	4/30/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/19/2006	4/30/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/19/2006	4/30/2007
Denied	Baltimore Life Insurance Company	300286	Agent - Health
Denied	Baltimore Life Insurance Company	300286	Agent - Life
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/21/2003	11/22/2004
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/21/2003	11/22/2004
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	5/3/2005	6/8/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Health	1/24/2003	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	1/24/2003	6/30/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/15/2005	1/31/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/15/2005	1/31/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/13/2003	4/30/2007
Inactive	Revol One Insurance Company	300681	Agent - Health	9/25/2006	6/11/2007
Inactive	Revol One Insurance Company	300681	Agent - Life	9/25/2006	6/11/2007
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	12/27/2003	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Health	10/16/2006	4/30/2007
Inactive	QBE First Enterprises LLC	610980	Agent - Life	10/16/2006	4/30/2007