DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Timothy J	DOIID	573859	NAIC NPN	1259171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/28/2003		9/30/2024
Active	Non Resident	Agent	Health	8/28/2003		9/30/2024
Active	Non Resident	Agent	Life	8/28/2003		9/30/2024
Active	Non Resident	Agent	Property	8/28/2003		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	5/7/2008	7/24/2019
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/7/2008	7/24/2019
Inactive	Resource Life Insurance Company	300284	Agent - Health	9/25/2003	4/2/2015
Inactive	Resource Life Insurance Company	300284	Agent - Life	9/25/2003	4/2/2015
Active	Virginia Surety Company, Inc.	301022	Agent - Casualty	10/14/2003
Active	Virginia Surety Company, Inc.	301022	Agent - Health	12/14/2021
Active	Virginia Surety Company, Inc.	301022	Agent - Property	10/14/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurant Dealer Services, Inc	399660	Agent - Casualty	8/27/2004	3/26/2015
Inactive	Assurant Dealer Services, Inc	399660	Agent - Health	8/27/2004	3/26/2015
Inactive	Assurant Dealer Services, Inc	399660	Agent - Life	8/27/2004	3/26/2015
Inactive	Assurant Dealer Services, Inc	399660	Agent - Property	8/27/2004	3/26/2015