DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Robert Harrison	DOIID	1200002	NAIC NPN	19269373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	4/19/2022		4/30/2025
Pending Replacement	Non Resident	Agent	Property	4/19/2022		4/30/2025
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	5/24/2022		4/30/2025
* 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	02/15/2025	04/30/2025
Surplus Lines Broker	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	AGCS Marine Insurance Company	300403	Agent - Casualty	10/23/2023
Pending Replacement	AGCS Marine Insurance Company	300403	Agent - Property	10/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	12/7/2023	8/27/2024
Inactive	Risk Placement Services Inc	509419	Agent - Property	12/7/2023	8/27/2024
Pending Replacement	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	12/7/2023