DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smolnik, Jeffrey	DOIID	999643	NAIC NPN	17854235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/2/2018		8/31/2024
Active	Non Resident	Agent	Health	7/2/2018		8/31/2024
Active	Non Resident	Agent	Life	7/2/2018		8/31/2024
Active	Non Resident	Agent	Casualty	7/2/2018		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	5/26/2020	6/21/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/26/2020	6/21/2023
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	5/26/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/26/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/26/2020	6/21/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/29/2019	9/13/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	4/29/2019	9/13/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/29/2019	9/13/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/29/2019	9/13/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/25/2019	9/5/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/25/2019	9/5/2019
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	2/11/2019	9/5/2019
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	1/16/2019	9/5/2019
Active	Principal Life Insurance Company	300129	Agent - Health	6/22/2021
Active	Principal Life Insurance Company	300129	Agent - Life	6/22/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/21/2019	10/21/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/21/2019	10/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Treloar & Heisel, Inc.	516754	Agent - Casualty
Denied	Treloar & Heisel, Inc.	516754	Agent - Property
Inactive	Treloar & Heisel, Inc.	516754	Agent - Life	7/11/2018	1/8/2019
Inactive	Treloar & Heisel, Inc.	516754	Agent - Health	7/11/2018	1/8/2019