DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Jason S	DOIID	656480	NAIC NPN	7642590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	5/31/2007	1/9/2024
Inactive	Non Resident	Agent	Property	5/31/2007	1/9/2024
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/31/2007	1/9/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/5/2007	1/9/2024
Inactive	ACE American Insurance Company	300625	Agent - Property	6/5/2007	1/9/2024
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	9/18/2014	1/9/2024
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	9/18/2014	1/9/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/5/2007	1/9/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/5/2007	1/9/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	12/12/2016	1/9/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	12/12/2016	1/9/2024
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	10/6/2015	3/2/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	10/6/2015	3/2/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	10/6/2015	3/2/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	10/6/2015	3/2/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	10/6/2015	3/2/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	10/6/2015	3/2/2021
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/5/2007	1/9/2024
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/5/2007	1/9/2024
Inactive	Markel American Insurance Company	300377	Agent - Casualty	1/19/2021	1/9/2024
Inactive	Markel American Insurance Company	300377	Agent - Property	1/19/2021	1/9/2024
Inactive	Markel Insurance Company	301475	Agent - Casualty	8/4/2010	1/9/2024
Inactive	Markel Insurance Company	301475	Agent - Property	8/4/2010	1/9/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	9/18/2014	1/9/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	9/18/2014	1/9/2024
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	4/2/2013	1/18/2018
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	4/2/2013	1/18/2018
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/5/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	1/9/2024
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/5/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	1/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022	1/9/2024
Inactive	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022	1/9/2024
Inactive	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022	1/9/2024