DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith Jr, Samuel Douglas	DOIID	393025	NAIC NPN	7209993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	8/30/1990	10/16/1998
Inactive	Resident	Agent	Life	12/28/1989	12/1/2000
Inactive	Resident	Agent	Health	12/28/1989	12/1/2000
Inactive	Resident	Life & Health Consultant	Not Applicable	1/10/1991	3/31/1999
* 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 - General Lines	8/30/1990	10/12/1998
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	8/30/1990	10/12/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	8/30/1990	10/12/1998
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/14/1991	3/31/1997
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/14/1991	3/31/1997
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	3/20/1995	10/16/1998
Inactive	Century Indemnity Company	301310	Agent - General Lines	8/30/1990	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/28/1989	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/28/1989	3/31/1997
Inactive	General American Life Insurance Company	300280	Agent - Health	10/16/1990	12/12/1996
Inactive	General American Life Insurance Company	300280	Agent - Life	10/16/1990	12/12/1996
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	8/30/1990	10/12/1998
Inactive	Insurance Company of North America	300226	Agent - General Lines	8/30/1990	10/12/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/7/1990	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/7/1990	3/31/1997
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	8/30/1990	10/12/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/13/1990	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/13/1990	3/31/1997
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	11/19/1991	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Concepts of KY Inc.	401259	Agent - Life	12/9/1988	12/1/2000
Inactive	National Concepts of KY Inc.	401259	Agent - Health	12/9/1988	12/1/2000