DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jackie Wayne	DOIID	635073	NAIC NPN	7648565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	8/13/2014	1/31/2025
Active	Non Resident	Agent	Health	8/13/2014	1/31/2025
Active	Non Resident	Agent	Life	8/13/2014	1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	3/9/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	3/9/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/28/2006	1/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/28/2006	1/31/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Life	9/26/2019
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	9/26/2019
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/13/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/13/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	7/13/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/10/2015	1/21/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/10/2015	1/21/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	7/13/2006	1/31/2013
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/13/2006	2/18/2009
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	7/13/2006	2/18/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/28/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/28/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	1/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	1/31/2013