DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Timothy L	DOIID	711611	NAIC NPN	7956605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/19/2009		10/31/2024
Active	Non Resident	Agent	Life	8/19/2009		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/18/2010	3/18/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/18/2010	3/18/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/28/2009
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/28/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/3/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/3/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/3/2015	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Moreton Ins Of Idaho Inc	546553	Agent - Health	9/22/2009	2/11/2013
Inactive	Moreton Ins Of Idaho Inc	546553	Agent - Life	9/22/2009	2/11/2013