DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Dalton	DOIID	1117175	NAIC NPN	19769655

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	10/7/2021	1/31/2025
Active	Resident	Agent	Life	9/30/2021	1/31/2025
Active	Resident	Agent	Property	3/10/2021	1/31/2025
Active	Resident	Agent	Casualty	3/10/2021	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	12/21/2022
Active	American Modern Home Insurance Company	300791	Agent - Property	12/21/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/13/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/13/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/20/2022
Active	Bristol West Insurance Company	301655	Agent - Property	12/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/13/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/20/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/20/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/1/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/22/2021	11/16/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/22/2021	11/16/2022
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/5/2021	11/16/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/22/2021	11/16/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/8/2021	11/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Dalton Lewis Enterprises, Inc.	1325058	Agent - Casualty	2/20/2024
Active	Dalton Lewis Enterprises, Inc.	1325058	Agent - Property	2/20/2024
Active	Dalton Lewis Enterprises, Inc.	1325058	Agent - Life	2/20/2024
Active	Dalton Lewis Enterprises, Inc.	1325058	Agent - Health	2/20/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/1/2022