DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Scott Kenneth	DOIID	1026865	NAIC NPN	6762157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/29/2019	2/28/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Program Brokerage LLC	851288	Surplus Lines Broker - Not Applicable	6/18/2019	2/28/2021