DEPARTMENT OF INSURANCE

Name	Smith, Douglas Edward	DOIID	639057	NAIC NPN	8071951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	1/11/2008	3/31/2017
Inactive	Non Resident	Agent	Property	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Casualty	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Life	8/31/2006	3/31/2017
Inactive	Non Resident	Agent	Health	8/31/2006	3/31/2017

*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
Business / Home Office	Affinion Benefits Group Llc 400 Duke DrFranklin, TN 370672700
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(615) 764-2128