DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Matthew Dominic	DOIID	852741	NAIC NPN	17374998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/30/2014	10/1/2016
* 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	Transamerica Life Insurance Company	300571	Agent - Life	10/7/2014	3/25/2015
Denied	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/3/2014	3/25/2015