DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jaime Genell	DOIID	715422	NAIC NPN	15073314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/27/2009	5/1/2011
Inactive	Resident	Agent	Health	10/20/2009	5/1/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/17/2009	5/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/2009	5/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Health	12/17/2009	10/19/2010
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Life	12/17/2009	10/19/2010