DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Bradley Thomas	DOIID	903686	NAIC NPN	17824625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	1/25/2016	5/31/2027
Active	Resident	Agent	Health	1/25/2016	5/31/2027
Active	Resident	Agent	Casualty	1/25/2016	5/31/2027
Active	Resident	Agent	Life	1/25/2016	5/31/2027
* 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	03/15/2025	05/31/2025	03/10/2025	03/10/2025	Yes

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	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/12/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/12/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/18/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/18/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/19/2016	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/19/2016	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/24/2016
Active	Dairyland Insurance Company	301370	Agent - Property	2/24/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/19/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/19/2016
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/21/2017
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/21/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	2/2/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	2/2/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	2/2/2016
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/2/2016
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	B.T. Smith Ins LLC	1272241	Agent - Life	5/2/2023
Active	B.T. Smith Ins LLC	1272241	Agent - Health	5/2/2023
Active	B.T. Smith Ins LLC	1272241	Agent - Casualty	5/2/2023
Active	B.T. Smith Ins LLC	1272241	Agent - Property	5/2/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/25/2016	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/25/2016	2/17/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	2/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	2/2/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	2/2/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	2/2/2016