DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Donald Chase	DOIID	862302	NAIC NPN	17439087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	4/23/2015		2/28/2025
Active	Resident	Agent	Property	4/30/2015		2/28/2025
Active	Resident	Agent	Life	2/24/2015		2/28/2025
Active	Resident	Agent	Health	3/10/2015		2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	2/8/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	2/8/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/24/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/24/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/30/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/30/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/16/2015
Active	Bristol West Insurance Company	301655	Agent - Property	6/16/2015
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/16/2015
Active	Dairyland Insurance Company	301370	Agent - Property	6/16/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/16/2015	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/16/2015	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/30/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/30/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/30/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/18/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/18/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chase Smith Insurance Inc	947774	Agent - Health	3/15/2017
Active	Chase Smith Insurance Inc	947774	Agent - Life	3/15/2017
Active	Chase Smith Insurance Inc	947774	Agent - Property	3/15/2017
Active	Chase Smith Insurance Inc	947774	Agent - Casualty	3/15/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	5/28/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	5/28/2015
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/28/2015
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/28/2015
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/28/2015
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/28/2015