DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Austin Max	DOIID	768273	NAIC NPN	16256066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/4/2011	4/30/2017
Inactive	Non Resident	Agent	Health	12/2/2011	4/30/2017
Inactive	Non Resident	Agent	Life	12/2/2011	4/30/2017
Inactive	Non Resident	Agent	Property	11/4/2011	4/30/2017
* 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	Athene Annuity and Life Company	301893	Agent - Life	4/4/2012	1/8/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/22/2013	5/19/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/22/2013	5/19/2017
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	11/9/2011	4/6/2017
Inactive	Central Mutual Insurance Company	300965	Agent - Property	11/9/2011	4/6/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/15/2011	3/31/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/15/2011	3/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/23/2013	5/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/23/2013	5/19/2017
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	3/4/2015	4/30/2017
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	3/4/2015	4/30/2017
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	11/17/2011	4/11/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	11/17/2011	4/11/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/24/2012	4/17/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/24/2012	4/17/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/23/2013	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/23/2013	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	1/4/2012	4/17/2017
Inactive	Regions Insurance, Inc.	502037	Agent - Property	1/4/2012	4/17/2017
Denied	Regions Insurance, Inc.	502037	Agent - Health
Denied	Regions Insurance, Inc.	502037	Agent - Life