DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Nicholas J	DOIID	772029	NAIC NPN	7874921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/13/2015		8/31/2025
Active	Non Resident	Agent	Property	9/23/2015		8/31/2025
Active	Non Resident	Agent	Casualty	9/23/2015		8/31/2025
Active	Non Resident	Agent	Health	1/13/2015		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/17/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/12/2015	11/2/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	8/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	8/31/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	8/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/15/2017	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/15/2017	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/15/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	8/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2012	8/31/2013
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Agent Alliance LLC	1003970	Agent - Life	8/8/2018	3/31/2024
Inactive	National Agent Alliance LLC	1003970	Agent - Health	8/8/2018	3/31/2024