DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Jacob Daniel	DOIID	963846	NAIC NPN	18456924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/15/2017	9/30/2024
Active	Non Resident	Agent	Life	8/15/2017	9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/15/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/14/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/29/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/14/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	12/14/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/28/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/24/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/24/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/24/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/13/2020	12/27/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/24/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/29/2017
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/19/2022	4/3/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	7/25/2019	11/22/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/22/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/22/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/22/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/22/2017	6/8/2018
Inactive	Independent Life Insurance Company	301831	Agent - Health	11/5/2018	6/21/2021
Inactive	Independent Life Insurance Company	301831	Agent - Life	11/5/2018	6/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	1/9/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/12/2018
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/5/2017	8/8/2022
Inactive	SILAC Insurance Company	300535	Agent - Health	8/24/2017	4/9/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	8/24/2017	4/9/2018
Active	SilverScript Insurance Company	663526	Agent - Health	12/14/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Active	Union Security Insurance Company	301844	Agent - Health	8/3/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	1/9/2019	3/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019