DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Dale Anthony	DOIID	1080915	NAIC NPN	8002686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/13/2020	5/31/2026
Active	Non Resident	Agent	Life	4/13/2020	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/16/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/16/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2024	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/23/2022	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2024	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2023	5/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/17/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/8/2024	12/16/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/7/2022	9/12/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/28/2023	9/12/2023
Active	Humana Insurance Company	301104	Agent - Health	6/3/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/2/2023	5/15/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/2/2023	5/15/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/16/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2020	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/22/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/22/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/22/2020	2/17/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/28/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/16/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024