DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Mark	DOIID	1126083	NAIC NPN	15902964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/24/2021		7/31/2026
Active	Non Resident	Agent	Life	3/24/2021		7/31/2026
* 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	05/15/2024	07/31/2024	06/19/2024	06/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/14/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/1/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/1/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/30/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/30/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/30/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/30/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/14/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/14/2021
Active	Humana Insurance Company	301104	Agent - Health	12/14/2021
Active	SilverScript Insurance Company	663526	Agent - Health	4/1/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/24/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/24/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/24/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	10/20/2023
Active	Lewis Insurance LLC	1126405	Agent - Life	3/25/2021
Active	Lewis Insurance LLC	1126405	Agent - Health	3/25/2021