DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, J Brian	DOIID	595462	NAIC NPN	7866569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/9/2015		1/31/2025
Active	Non Resident	Agent	Property	12/10/2018		1/31/2025
Active	Non Resident	Agent	Life	4/9/2015		1/31/2025
Active	Non Resident	Agent	Casualty	12/10/2018		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/3/2017	1/25/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/3/2017	1/25/2024
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	11/10/2004	1/31/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	11/10/2004	1/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2015	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2015	5/4/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/1/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/1/2015	7/29/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/4/2004	3/14/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/4/2004	3/14/2011
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	10/4/2004	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	10/4/2004	6/25/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/2015	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Consulting Inc NJ	399932	Agent - Health	6/1/2020	1/25/2024
Inactive	Aon Consulting Inc NJ	399932	Agent - Life	6/1/2020	1/25/2024
Denied	Aon Consulting Inc NJ	399932	Agent - Casualty
Denied	Aon Consulting Inc NJ	399932	Agent - Property
Inactive	The Farmington Company	534046	Agent - Health	10/4/2004	1/31/2011
Inactive	The Farmington Company	534046	Agent - Life	10/4/2004	1/31/2011