DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Cindy M	DOIID	905567	NAIC NPN	6428204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Independent Adjuster	Workers' Compensation	2/3/2016		5/31/2024
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	2/3/2016		5/31/2024
* 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
Pending Replacement	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	7/27/2016
Pending Replacement	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	7/27/2016