DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Dalazia Lecrell	DOIID	954046	NAIC NPN	18062397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/11/2017	4/30/2020
Inactive	Non Resident	Agent	Health	5/11/2017	4/30/2020
* 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	American Retirement Life Insurance Company	706303	Agent - Health	5/24/2018	6/19/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/31/2017	8/23/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/31/2017	8/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	11/21/2017	8/23/2018
Inactive	Sutherland Global Services Inc	601788	Agent - Health	11/21/2017	8/23/2018