DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Theresa Emily	DOIID	683010	NAIC NPN	10944676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/17/2008	11/30/2011
Inactive	Non Resident	Agent	Health	6/17/2008	11/30/2011
* 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	8/5/2009	12/17/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/9/2008	11/30/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/5/2009	12/17/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/5/2009	12/17/2009

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	7/11/2008	3/8/2011
Denied	PCCW Teleservices (US) , Inc.	533374	Agent - Life