DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Jeffrey Keith	DOIID	566968	NAIC NPN	7648828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/8/2003	12/31/2025
Active	Resident	Agent	Property	4/18/2003	12/31/2025
Active	Resident	Agent	Life	5/8/2003	12/31/2025
Active	Resident	Agent	Casualty	5/16/2003	12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/11/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/11/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/4/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/4/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/13/2003
Active	FB Insurance Company (The)	301763	Agent - Casualty	5/16/2003
Active	FB Insurance Company (The)	301763	Agent - Health	5/8/2003
Active	FB Insurance Company (The)	301763	Agent - Property	4/18/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/18/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/18/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/16/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	5/8/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/18/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/8/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/8/2003
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	6/23/2017

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 - Health	12/13/2013	2/14/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/14/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	6/3/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	6/3/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	6/3/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	6/3/2003