DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewin, Jacob Michael	DOIID	926774	NAIC NPN	18084015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/29/2016	10/31/2023
Inactive	Non Resident	Agent	Casualty	8/29/2016	10/31/2023
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	7/9/2020	1/10/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/9/2020	1/10/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/12/2016	8/19/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/12/2016	8/19/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/12/2016	8/20/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/12/2016	8/20/2020
Inactive	National General Insurance Company	300152	Agent - Casualty	8/31/2016	7/23/2020
Inactive	National General Insurance Company	300152	Agent - Property	8/31/2016	7/23/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	10/13/2016	7/17/2020
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	10/13/2016	7/17/2020
Inactive	CWI, LLC	662170	Agent - Property	10/13/2016	7/17/2020
Inactive	CWI, LLC	662170	Agent - Casualty	10/13/2016	7/17/2020
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	10/13/2016	7/17/2020
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	10/13/2016	7/17/2020
Inactive	National General Ins Marketing Inc	621228	Agent - Property	8/31/2016	7/17/2020
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	8/31/2016	7/17/2020