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DEPARTMENT OF INSURANCE
Affiliations
Name
Lewis, Mark D
DOIID
364195
NAIC NPN
1498620
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
1/16/1996
8/7/1998
Inactive
Non Resident
Agent
Health
1/16/1996
8/7/1998
* 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
10/7/1996
6/24/1997
Inactive
Anthem Life Insurance Company
301209
Agent - Life
10/7/1996
6/24/1997
Inactive
Physicians Life Insurance Company
300924
Agent - Life
10/20/1997
8/7/1998
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
10/17/1997
8/7/1998
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
1/16/1996
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
1/16/1996
3/31/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia Senior of The Southeast Inc.
401297
Agent - Health
4/24/1996
6/24/1997
Inactive
Acordia Senior of The Southeast Inc.
401297
Agent - Life
4/24/1996
6/24/1997
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