DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Douglas E	DOIID	785223	NAIC NPN	815133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/20/2018	3/31/2020
Inactive	Non Resident	Agent	Life	11/20/2018	3/31/2020
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	11/2/2012	3/31/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/2/2012	3/31/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/14/2018	3/31/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/14/2018	3/31/2020
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/1/2013	3/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LPL FINANCIAL LLC	399327	Agent - Life	10/30/2012	3/31/2014
Inactive	LPL FINANCIAL LLC	399327	Agent - Health	10/30/2012	3/31/2014
Inactive	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Life	4/12/2013	3/31/2014
Inactive	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Health	4/12/2013	3/31/2014