DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Dawn	DOIID	954825	NAIC NPN	6622402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/19/2017	1/31/2025
Active	Non Resident	Agent	Property	5/19/2017	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	6/1/2017
Active	Employers Insurance Company of Wausau	301813	Agent - Property	6/1/2017
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/1/2017
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/1/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/28/2018	7/20/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/28/2018	7/20/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/4/2019	12/9/2020
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/4/2019	12/9/2020
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	12/15/2019
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	12/15/2019
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	12/29/2020	7/20/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Property	12/29/2020	7/20/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	6/1/2017
Active	LM Insurance Corporation	301061	Agent - Property	6/1/2017
Active	Liberty Insurance Corporation	300444	Agent - Casualty	6/1/2017
Active	Liberty Insurance Corporation	300444	Agent - Property	6/1/2017
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/1/2017
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/1/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/23/2019	12/9/2020
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/23/2019	12/9/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/19/2021	7/20/2023
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/19/2021	7/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Property	6/1/2017
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	6/1/2017