DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis Insurance LLC	DOIID	1126405	NAIC NPN	18003034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/25/2021		3/31/2027
Active	Non Resident	Agent	Life	3/25/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/1/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/1/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/1/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	8/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/24/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/24/2022
Active	Humana Insurance Company	301104	Agent - Health	12/30/2021
Active	SilverScript Insurance Company	663526	Agent - Health	4/1/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/29/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/29/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lewis, Mark	1126083	Agent - Health	3/25/2021
Active	Lewis, Mark	1126083	Agent - Life	3/25/2021