DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jean Marie	DOIID	634784	NAIC NPN	8716831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	11/18/2014	6/3/2016
Inactive	Non Resident	Agent	Life	6/24/2006	5/31/2012
Inactive	Non Resident	Agent	Health	6/24/2006	5/31/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/18/2010	3/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/18/2010	3/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/18/2010	3/30/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	2/15/2007	7/2/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	2/15/2007	7/2/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Personal Lines	6/14/2013	4/10/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/4/2010	5/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/4/2010	5/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/4/2010	5/31/2012
Inactive	Continental American Insurance Company	301700	Agent - Health	11/9/2010	5/31/2012
Inactive	Continental American Insurance Company	301700	Agent - Life	11/9/2010	5/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/31/2012
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/17/2010	5/31/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/17/2010	5/31/2012
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	12/10/2014	7/27/2015
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	7/12/2015	7/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	5/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	2/1/2007	5/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	2/1/2007	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/1/2007	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/1/2007	5/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/1/2007	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/1/2007	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/10/2011	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/10/2011	5/31/2012
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	10/10/2013	6/3/2014
Inactive	Time Insurance Company	300683	Agent - Health	8/17/2006	10/21/2009
Inactive	Time Insurance Company	300683	Agent - Life	8/17/2006	10/21/2009
Inactive	United American Insurance Company	300910	Agent - Health	7/27/2006	12/13/2010
Inactive	United American Insurance Company	300910	Agent - Life	7/27/2006	12/13/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	12/12/2014	7/28/2015
Inactive	HBDC II, Inc	641352	Agent - Health	2/16/2007	5/31/2012
Inactive	HBDC II, Inc	641352	Agent - Life	2/16/2007	5/31/2012