DEPARTMENT OF INSURANCE

Name	Smith, Brent Larry	DOIID	339767	NAIC NPN	783211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/10/2008
Inactive	Resident	Agent	Health	2/5/1986	3/10/2008
Inactive	Resident	Agent	General Lines	10/22/1981	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	3/10/2008
Inactive	Resident	Agent	Life	2/5/1986	3/10/2008
Inactive	Resident	Property & Casualty Consultant	Not Applicable	7/11/2005	3/10/2008
Inactive	Resident	Surplus Lines Broker	Not Applicable	10/7/1997	3/10/2008

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Insuramax Inc P O Box 20829 2200 Greene WayLouisville, KY 40250

Phone Information

Type	Phone
Business / Home Office	(502) 479-4020