DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Robert Brian	DOIID	1039435	NAIC NPN	13162762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/6/2019	6/26/2024
Inactive	Non Resident	Agent	Property	5/6/2019	6/26/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2024		2/28/2027
* 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
Surplus Lines Broker	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	5/30/2019	6/26/2024
Inactive	Zurich American Insurance Company	301121	Agent - Property	5/30/2019	6/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Ins Services Of Georgia Inc	549678	Agent - Casualty	6/11/2019	2/4/2020
Inactive	Willis Ins Services Of Georgia Inc	549678	Agent - Property	6/11/2019	2/4/2020
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	2/1/2020	6/26/2024
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	2/1/2020	6/26/2024
Active	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	6/19/2024