DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	C M Smith Agency Inc	DOIID	730128	NAIC NPN	1986696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/14/2010	8/31/2017
Inactive	Non Resident	Agent	Health	6/14/2010	8/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/20/2010	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/20/2010	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/20/2010	8/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/16/2012	8/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/16/2012	8/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/16/2012	8/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/16/2012	8/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Oconnell, John F	390195	Agent - Health	6/14/2010	8/31/2017
Inactive	Oconnell, John F	390195	Agent - Life	6/14/2010	8/31/2017