DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Douglas Edward	DOIID	639057	NAIC NPN	8071951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/11/2008	3/31/2017
Inactive	Non Resident	Agent	Life	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Property	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Health	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Casualty	8/31/2006	3/31/2017
* 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 Assurance Company	300586	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	9/21/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	9/21/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/22/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/22/2011	12/31/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/7/2007	5/14/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/7/2007	5/14/2017
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/28/2008	7/22/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/28/2008	7/22/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/8/2013	8/3/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/8/2013	8/3/2015
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/22/2011	9/21/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/22/2011	9/21/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/25/2014	7/1/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/25/2014	7/1/2015
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	8/29/2007	3/31/2017
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	8/29/2007	3/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FRANKLIN MADISON GROUP LLC	394568	Agent - Life	12/17/2007	1/13/2016
Inactive	FRANKLIN MADISON GROUP LLC	394568	Agent - Health	12/17/2007	1/13/2016
Inactive	FRANKLIN MADISON GROUP LLC	394568	Agent - Property	12/17/2007	1/13/2016
Inactive	FRANKLIN MADISON GROUP LLC	394568	Agent - Casualty	12/17/2007	1/13/2016
Inactive	FRANKLIN MADISON GROUP LLC	394568	Administrator - Not Applicable	1/11/2008	3/31/2017
Inactive	Long Term Preferred Care, Inc.	577837	Agent - Life	1/12/2009	1/13/2016
Inactive	Long Term Preferred Care, Inc.	577837	Agent - Health	1/12/2009	1/13/2016