Individual Information

GARY ALLEN SMITH

SAN JOSE, CA 95118

Active

gary@ancillarymarkets.com

02/17/2009

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	638287	02/17/2009	Active	02/17/2009	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/17/2009	Active	02/17/2009
Life	02/17/2009	Active	02/17/2009

Company Name	Appointment Type	Status	Active Date
139
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA	Health	Active	03/18/2016

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Organization	Association Type	Type	Beg dte	End dte
ANCILLARY MARKETS INSURANCE MARKETING SERVICES LLC	Designated Resp Lic Prdcr	Agency	11/30/2020	-

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