DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Brenna	DOIID	825883	NAIC NPN	17090890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/26/2013	4/8/2016
Inactive	Non Resident	Agent	Life	10/26/2013	4/8/2016
* 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	Continental American Insurance Company	301700	Agent - Health	10/28/2013	6/15/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/28/2013	6/15/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/10/2014	3/12/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/10/2014	3/12/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/20/2013	4/8/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/20/2013	4/8/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/10/2014	3/12/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/10/2014	3/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/13/2014	4/8/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/13/2014	4/8/2016