DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jason	DOIID	729439	NAIC NPN	15759654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/1/2010	3/31/2012
Inactive	Non Resident	Agent	Life	6/1/2010	3/31/2012
* 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	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	6/15/2010	7/28/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/10/2010	7/28/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/10/2010	7/28/2011
Inactive	Revol One Insurance Company	300681	Agent - Life	2/5/2011	7/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Efinancial LLC	598419	Agent - Health	7/19/2010	7/28/2011
Inactive	Efinancial LLC	598419	Agent - Life	7/19/2010	7/28/2011