DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Doris Jane	DOIID	677964	NAIC NPN	8686796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/8/2008	12/2/2011
Inactive	Non Resident	Agent	Life	4/8/2008	12/2/2011
* 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	Mutual of Omaha Insurance Company	301012	Agent - Health	7/27/2010	10/26/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/27/2008	12/2/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/27/2010	10/26/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/27/2010	10/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	8/14/2008	3/8/2011
Denied	PCCW Teleservices (US) , Inc.	533374	Agent - Life