DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Bryan Lee	DOIID	955319	NAIC NPN	18399648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/24/2017	9/18/2020
Inactive	Non Resident	Agent	Property	5/24/2017	9/18/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/30/2017	9/18/2020
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/25/2017	9/18/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	5/25/2017	9/18/2020
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/30/2017	6/1/2020
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/30/2017	6/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CHS Insurance Services, LLC	570439	Agent - Property	6/16/2017	3/8/2019
Inactive	CHS Insurance Services, LLC	570439	Agent - Casualty	6/16/2017	3/8/2019
Inactive	CHS Insurance Services, LLC	570439	Surplus Lines Broker - Not Applicable	6/16/2017	9/18/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/13/2018	12/13/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/13/2018	12/13/2019
Inactive	Usi Insurance Services LLC	669260	Surplus Lines Broker - Not Applicable	6/13/2018	1/6/2020