DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Mark Alan	DOIID	556963	NAIC NPN	7373318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/12/2002	7/31/2016
Inactive	Non Resident	Agent	Casualty	2/2/2004	7/31/2016
Inactive	Non Resident	Agent	Health	11/12/2002	7/31/2016
Inactive	Non Resident	Agent	Property	2/2/2004	7/31/2016
* 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	Centre Insurance Company	301599	Agent - Casualty	4/6/2005	12/7/2005
Inactive	Centre Insurance Company	301599	Agent - Property	4/6/2005	12/7/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/8/2004	6/9/2015
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/8/2004	6/9/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/21/2004	6/16/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/21/2004	6/16/2015
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/7/2010	6/2/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/7/2010	6/2/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/18/2011	6/2/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/18/2011	6/2/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/12/2002	2/3/2003
Denied	Stonebridge Life Insurance Company	301614	Agent - Life
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/30/2015	8/17/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/30/2015	8/17/2016

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 - Casualty	2/26/2013	6/3/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	2/26/2013	6/16/2015
Denied	QBE First Enterprises LLC	610980	Agent - Health
Denied	QBE First Enterprises LLC	610980	Agent - Life
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	10/16/2006	8/5/2013
Inactive	QBE First Enterprises LLC	610980	Agent - Property	10/16/2006	8/5/2013