DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewyn, Clay William	DOIID	366715	NAIC NPN	254286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/10/1999	10/31/2004
Inactive	Non Resident	Agent	Health	5/10/1999	10/31/2004
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/10/1999	11/15/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/10/1999	11/15/2002
Inactive	American Security Insurance Company	300901	Agent - Health	9/21/2001	11/11/2002
Inactive	Continental Casualty Company	301019	Agent - Health	5/9/2001	8/13/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	2/27/2001	10/17/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	2/27/2001	10/17/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Health	9/21/2001	10/17/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Life	9/21/2001	10/17/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/9/2001	8/8/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/9/2001	8/8/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	3/17/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	3/17/2003