DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Matthew Donte	DOIID	879448	NAIC NPN	17555603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/4/2023		10/31/2024
Active	Non Resident	Agent	Casualty	5/4/2023		10/31/2024
Inactive	Non Resident	Agent	Life	4/12/2019	10/31/2020
Inactive	Non Resident	Agent	Health	7/9/2021	10/31/2022
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	6/15/2015	12/17/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	6/15/2015	12/17/2015
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/12/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2017	10/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/10/2019	12/15/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2017	10/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/9/2021	12/10/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/10/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2019	12/28/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2019	12/28/2019
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	12/10/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/10/2019	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/18/2017	6/8/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	6/9/2015	7/5/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	6/9/2015	7/5/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/17/2017	10/31/2020
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	6/16/2023	9/20/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	6/16/2023	9/20/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/18/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/18/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/18/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/18/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/18/2017	6/8/2018
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	6/18/2015	9/6/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/11/2015	10/31/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/11/2015	10/31/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/11/2015	10/31/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/11/2015	10/31/2016
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/3/2019	11/19/2020
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	6/16/2023	9/20/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	6/16/2023	9/20/2023
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	6/16/2023	9/20/2023
Inactive	USAA General Indemnity Company	300131	Agent - Property	6/16/2023	9/20/2023
Inactive	United Services Automobile Association	300158	Agent - Casualty	6/16/2023	9/20/2023
Inactive	United Services Automobile Association	300158	Agent - Property	6/16/2023	9/20/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2017	11/27/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/1/2017	11/27/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/1/2017	11/27/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	10/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	10/31/2020

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	5/1/2019	12/28/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/1/2019	10/31/2020
Inactive	Qw Insurance Solutions, LLC	1047634	Agent - Health	9/2/2021	9/22/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Property	6/9/2015	4/15/2016
Inactive	TZ Insurance Solutions LLC	727470	Agent - Casualty	6/9/2015	4/15/2016
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	6/29/2023	9/20/2023
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	6/29/2023	9/20/2023