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	Life	8/15/2017	9/30/2026
Active	Non Resident	Agent	Health	8/15/2017	9/30/2026
* 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 Property and Casualty Insurance Company	300520	Agent - Health	1/15/2023	4/5/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/10/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/14/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/29/2017	10/10/2025
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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/24/2022	10/2/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/24/2022	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/24/2022	10/2/2025
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
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2023	2/17/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	1/6/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/24/2022	10/2/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/29/2017	10/10/2025
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
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	12/5/2024	2/25/2025
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	12/5/2024	2/25/2025
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019	10/10/2025
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019