DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jeremy M	DOIID	882765	NAIC NPN	17640560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/13/2015	6/30/2018
Inactive	Non Resident	Agent	Property	7/13/2015	6/30/2018
* 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	Dairyland Insurance Company	301370	Agent - Casualty	7/31/2015	8/29/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/31/2015	8/29/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/22/2015	8/3/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/22/2015	8/3/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/22/2015	8/3/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/22/2015	8/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Property	7/22/2015	8/5/2015
Inactive	Clear Link Ins Agency LLC	805173	Agent - Casualty	7/22/2015	8/5/2015