DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, John Daniel	DOIID	356148	NAIC NPN	7194175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/12/2011	3/1/2014
Inactive	Resident	Agent	Life	2/14/2011	3/1/2014
Inactive	Resident	Agent	Credit Life & Health	8/31/1999	1/4/2000
Inactive	Resident	Agent	Limited Line Credit	7/30/2001	4/30/2004
* 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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/29/2011	3/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/29/2011	3/1/2014
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/28/2004	12/14/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/28/2004	12/14/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/4/2011	3/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/4/2011	3/1/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	3/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2011	3/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2011	3/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2011	3/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2011	3/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2011	3/1/2014
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/30/2001	4/30/2004
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/4/2011	3/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/4/2011	3/1/2014
Inactive	Modern Woodmen of America	301213	Agent - Life	2/14/2011	9/7/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	8/31/1999	1/4/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/29/2011	3/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/29/2011	3/1/2014
Inactive	MWAGIA, Inc	549166	Agent - Health	4/29/2011	3/1/2014
Inactive	MWAGIA, Inc	549166	Agent - Life	4/25/2011	3/1/2014
Inactive	Sam's Cycle Inc.	539779	Agent - Limited Line Credit	12/7/2001	5/1/2003