DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Mason Eugene	DOIID	975022	NAIC NPN	18507434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/31/2017	12/17/2019
Inactive	Non Resident	Agent	Property	10/31/2017	12/17/2019
* 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	ACE American Insurance Company	300625	Agent - Casualty	11/2/2017	12/17/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	11/2/2017	12/17/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	3/15/2018	11/2/2018
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	3/15/2018	11/2/2018