DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Michael W	DOIID	565464	NAIC NPN	601935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/14/2015	2/28/2017
Inactive	Non Resident	Agent	Life	10/14/2015	2/28/2017
Inactive	Non Resident	Agent	Property	1/10/2007	2/28/2011
Inactive	Non Resident	Agent	Casualty	1/10/2007	2/28/2011
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	5/19/2009	7/7/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	5/19/2009	7/7/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/9/2008	7/16/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/9/2008	7/16/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	5/26/2009	7/27/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	5/26/2009	7/27/2010
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/10/2003	7/25/2003
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/10/2003	7/25/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/5/2008	7/30/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/5/2008	7/30/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/10/2003	7/25/2003
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/10/2003	7/25/2003
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/10/2003	7/25/2003
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/10/2003	7/25/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	6/9/2008	7/16/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	6/9/2008	7/16/2010
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/6/2009	7/7/2010
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/6/2009	7/7/2010
Inactive	Tesla Insurance Company	300337	Agent - Casualty	1/22/2007	7/1/2010
Inactive	Tesla Insurance Company	300337	Agent - Property	1/22/2007	7/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	2/19/2007	6/3/2009
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	2/19/2007	6/3/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	3/25/2009	7/6/2010
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	3/25/2009	7/1/2010
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	2/19/2007	10/5/2009
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	2/19/2007	10/5/2009