DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Chase D	DOIID	692321	NAIC NPN	3523933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/16/2011	9/30/2011
Inactive	Non Resident	Agent	Health	10/28/2008	9/30/2011
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	10/3/2010	9/30/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2010	10/11/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/23/2009	9/30/2011
Inactive	Continental American Insurance Company	301700	Agent - Health	8/17/2011	9/26/2011
Inactive	Continental American Insurance Company	301700	Agent - Life	8/17/2011	9/26/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/23/2010	9/30/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/3/2011	9/30/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/3/2011	9/30/2011
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/1/2009	9/30/2011
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/1/2011	9/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/23/2010	9/30/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/4/2008	4/27/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	1/5/2009	9/30/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/3/2010	9/30/2011