DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Thomas Francis	DOIID	578532	NAIC NPN	5723259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/8/2005	2/28/2015
Inactive	Non Resident	Agent	Health	10/15/2003	2/28/2015
Inactive	Non Resident	Agent	Life	10/15/2003	2/28/2015
Active	Non Resident	Staff Adjuster	Property & Casualty	3/12/2019		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
Staff Adjuster	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	3/23/2007	6/13/2008
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	3/23/2007	6/13/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/11/2003	10/17/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/11/2003	10/17/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/3/2006	2/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Maksin Management Corp	395230	Agent - Health	2/2/2007	2/28/2015
Inactive	Maksin Management Corp	395230	Agent - Life	3/23/2007	6/13/2008
Inactive	Maksin Management Corp	395230	Administrator - Not Applicable	6/8/2005	2/28/2015