DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Ulysses N	DOIID	932360	NAIC NPN	1586208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/7/2016	7/31/2019
Inactive	Non Resident	Agent	Life	10/7/2016	7/31/2019
* 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	8/28/2017	12/17/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/28/2017	12/17/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/28/2017	1/25/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/31/2019	7/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/31/2019	7/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/23/2018	7/31/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/11/2016	3/3/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/11/2016	3/3/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/21/2017	11/2/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/21/2017	11/2/2017

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	4/2/2019	7/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/2/2019	7/31/2019