DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Virginia	DOIID	656831	NAIC NPN	8478989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/11/2007	1/31/2011
Inactive	Non Resident	Agent	Health	6/11/2007	1/31/2011
* 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	ReliaStar Life Insurance Company	301712	Agent - Life	3/1/2010	1/31/2011
Inactive	Revol One Insurance Company	300681	Agent - Health	6/19/2007	3/26/2010
Inactive	Revol One Insurance Company	300681	Agent - Life	6/19/2007	3/26/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Life	5/9/2008	10/7/2009
Inactive	QBE First Enterprises LLC	610980	Agent - Health	5/9/2008	10/7/2009