DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Timothy M	DOIID	793282	NAIC NPN	3357926

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2012		12/31/2026
Active	Non Resident	Agent	Life	10/2/2012		12/31/2026
* 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
Agent	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	1/6/2023
Active	American General Life Insurance Company	301585	Agent - Health	1/25/2022
Active	American General Life Insurance Company	301585	Agent - Life	1/25/2022
Active	Equitable Financial Life Insurance Company	300808	Agent - Health	12/27/2012
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	12/27/2012
Active	Pacific Life Insurance Company	301848	Agent - Health	8/24/2017
Active	Pacific Life Insurance Company	301848	Agent - Life	8/24/2017
Active	Principal National Life Insurance Company	301926	Agent - Life	10/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AM Levin Ins Assoc Inc	852490	Agent - Life	12/15/2021
Active	AM Levin Ins Assoc Inc	852490	Agent - Health	12/15/2021
Active	Blair Agency Inc The	552890	Agent - Life	5/27/2026
Active	Blair Agency Inc The	552890	Agent - Health	5/27/2026
Active	Charles T. Smith Insurance Agency Inc	1190716	Agent - Life	3/1/2022
Active	Charles T. Smith Insurance Agency Inc	1190716	Agent - Health	3/1/2022
Active	North Coast Brokerage Agency Inc	1207372	Agent - Life	4/17/2026
Active	North Coast Brokerage Agency Inc	1207372	Agent - Health	4/17/2026
Active	Pacific Southwest Financial & Insurance Services, Inc.	577709	Agent - Life	5/27/2026
Active	Pacific Southwest Financial & Insurance Services, Inc.	577709	Agent - Health	5/27/2026
Active	Pittsburgh Brokerage Services, Inc.	539390	Agent - Life	4/17/2026
Active	Pittsburgh Brokerage Services, Inc.	539390	Agent - Health	4/17/2026