DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Thomas Francis	DOIID	578532	NAIC NPN	5723259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/8/2005	2/28/2015
Inactive	Non Resident	Agent	Health	10/15/2003	2/28/2015
Inactive	Non Resident	Agent	Life	10/15/2003	2/28/2015
Active	Non Resident	Staff Adjuster	Property & Casualty	3/12/2019		2/28/2025
* 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 General Life Insurance Company of Delaware	301057	Agent - Health	3/23/2007	6/13/2008
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	3/23/2007	6/13/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/11/2003	10/17/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/11/2003	10/17/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/3/2006	2/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Maksin Management Corp	395230	Agent - Health	2/2/2007	2/28/2015
Inactive	Maksin Management Corp	395230	Agent - Life	3/23/2007	6/13/2008
Inactive	Maksin Management Corp	395230	Administrator - Not Applicable	6/8/2005	2/28/2015