DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Steven Mark	DOIID	534735	NAIC NPN	973286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/24/2001	4/30/2010
Inactive	Non Resident	Agent	Life	8/24/2001	4/30/2010
* 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	Mutual Service Life Insurance Company	300225	Agent - Health	8/24/2001	4/19/2004
Inactive	Mutual Service Life Insurance Company	300225	Agent - Life	8/24/2001	4/19/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	7/8/2002	4/30/2010
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	7/8/2002	4/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Meadowbrook Inc	584308	Agent - Life	2/27/2004	4/30/2010
Inactive	Meadowbrook Inc	584308	Agent - Health	2/27/2004	4/30/2010