DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Timothy L	DOIID	639807	NAIC NPN	1506476

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2006	5/31/2025
Active	Non Resident	Agent	Life	9/12/2006	5/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	9/12/2006	5/31/2025
* 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.

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	4/8/2021
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/8/2021
Active	CMFG Life Insurance Company	300929	Agent - Health	6/13/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	6/13/2019
Active	CMFG Life Insurance Company	300929	Agent - Variable Life and Variable Annuities	6/13/2019
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/18/2006	12/12/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/18/2006	12/12/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	10/23/2006	12/20/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/18/2006	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/18/2006	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	10/23/2006	5/28/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/18/2006	12/12/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	10/23/2006	12/20/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Aurora Insurance Services Inc	641799	Agent - Life	6/29/2023
Active	Aurora Insurance Services Inc	641799	Agent - Health	6/29/2023
Active	Aurora Insurance Services Inc	641799	Agent - Variable Life and Variable Annuities	9/10/2019