DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Terrell Andre	DOIID	663151	NAIC NPN	8512430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/4/2007		9/30/2024
Active	Non Resident	Agent	Property	9/4/2007		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	12/15/2014
Active	American Modern Home Insurance Company	300791	Agent - Property	12/15/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2014
Active	Homesite Insurance Company	301139	Agent - Casualty	9/11/2007
Active	Homesite Insurance Company	301139	Agent - Property	9/11/2007
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/14/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/14/2017
Active	Independence American Insurance Company	524747	Agent - Casualty	11/10/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/10/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	2/27/2019
Active	United States Fire Insurance Company	582240	Agent - Property	2/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Homesite Ins Agency Inc	547560	Agent - Property	1/3/2011
Active	Homesite Ins Agency Inc	547560	Agent - Casualty	1/3/2011