DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jason D	DOIID	785671	NAIC NPN	16709388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/29/2012	12/1/2014
Inactive	Resident	Agent	Life	11/29/2012	12/1/2014
Inactive	Resident	Agent	Property	12/17/2013	12/1/2014
Inactive	Resident	Agent	Casualty	12/17/2013	12/1/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Russell & Associates Benefit LLC	746876	Agent - Life
Denied	Russell & Associates Benefit LLC	746876	Agent - Health
Denied	Russell & Associates Benefit LLC	746876	Agent - Casualty
Denied	Russell & Associates Benefit LLC	746876	Agent - Property
Denied	StoneBridge Insurance Services, Inc	398862	Agent - Life
Denied	StoneBridge Insurance Services, Inc	398862	Agent - Health
Denied	StoneBridge Insurance Services, Inc	398862	Agent - Casualty
Denied	StoneBridge Insurance Services, Inc	398862	Agent - Property