DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Todd William	DOIID	714579	NAIC NPN	14988749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/11/2014	9/1/2016
Inactive	Resident	Agent	Health	11/20/2009	9/1/2012
* 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	American Memorial Life Insurance Company	301445	Agent - Life	4/28/2014	9/19/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/30/2009	9/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/30/2009	9/1/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	5/15/2014	9/1/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/20/2014	6/12/2015
Inactive	Time Insurance Company	300683	Agent - Health	11/30/2009	7/8/2010
Inactive	Time Insurance Company	300683	Agent - Life	11/30/2009	7/8/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Synergy Insurance Agency, Inc.	694265	Agent - Life	11/30/2009	2/1/2011
Inactive	Synergy Insurance Agency, Inc.	694265	Agent - Health	11/30/2009	2/1/2011