DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mundin Iv, Lewis Howard	DOIID	809552	NAIC NPN	3048068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/7/2013		9/30/2026
Active	Non Resident	Agent	Life	5/7/2013		9/30/2026
* 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
Active	ACE American Insurance Company	300625	Agent - Health	12/11/2023
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/11/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2013	11/3/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/25/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/25/2023
Active	Combined Insurance Company of America	301472	Agent - Health	12/10/2023
Active	Combined Insurance Company of America	301472	Agent - Life	12/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/1/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/1/2013	11/2/2016