DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Andre Etta	DOIID	959058	NAIC NPN	17444595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/29/2017	11/30/2018
Inactive	Non Resident	Agent	Property	6/29/2017	11/30/2018
Inactive	Non Resident	Agent	Health	6/29/2017	11/30/2018
Inactive	Non Resident	Agent	Casualty	6/29/2017	11/30/2018
* 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	Dairyland Insurance Company	301370	Agent - Casualty	7/12/2017	11/12/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/12/2017	11/12/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	6/30/2017	10/30/2017
Inactive	National General Insurance Company	300152	Agent - Property	6/30/2017	10/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	6/30/2017	11/12/2017
Inactive	National General Ins Marketing Inc	621228	Agent - Property	6/30/2017	11/12/2017