DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	USI Ins Services Of RI Inc	DOIID	746856	NAIC NPN	2098797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/28/2011	3/31/2015
Inactive	Non Resident	Agent	Casualty	1/28/2011	3/31/2015
Inactive	Non Resident	Agent	Health	1/28/2011	3/31/2015
Inactive	Non Resident	Agent	Property	1/28/2011	3/31/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/16/2012	6/14/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/16/2012	6/14/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2012	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/12/2012	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/12/2012	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/16/2012	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/16/2012	6/14/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/29/2012	3/31/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/29/2012	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lewis, Earl D	553906	Agent - Casualty	1/28/2011	3/31/2015
Inactive	Lewis, Earl D	553906	Agent - Health	1/28/2011	3/31/2015
Inactive	Lewis, Earl D	553906	Agent - Life	1/28/2011	3/31/2015
Inactive	Lewis, Earl D	553906	Agent - Property	1/28/2011	3/31/2015