DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Antionette	DOIID	931065	NAIC NPN	8027659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/27/2016	4/30/2018
Inactive	Non Resident	Agent	Life	9/27/2016	4/30/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2017	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/18/2017	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/18/2017	4/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/17/2017	12/20/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/17/2017	12/20/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/18/2017	4/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/6/2017	12/19/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	12/19/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/10/2017	12/26/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/10/2017	12/26/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/13/2017	4/30/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2017	12/15/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/27/2017	12/15/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/27/2017	12/15/2017

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	8/17/2017	12/21/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/17/2017	12/21/2017