Individual Information

ZACK S LEWIS

THOMASVILLE, GA 31792

Active

contracting@thekingdomgroup.net

03/20/2006

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	217660	03/20/2006	Active	03/20/2006	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	03/20/2006	Active	03/20/2006
Life	03/20/2006	Active	03/20/2006

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	07/01/2009
770
Company Name	Appointment Type	Status	Active Date
AETNA HEALTH INSURANCE COMPANY	Health	Active	09/23/2008
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	09/23/2008
	Life	Active	09/23/2008
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/20/2021
167
Company Name	Appointment Type	Status	Active Date
COMBINED INSURANCE COMPANY OF AMERICA	Health	Active	10/24/2022
	Life	Active	10/24/2022
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	01/21/2024
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	09/01/2011
	Life	Active	09/01/2011
741
Company Name	Appointment Type	Status	Active Date
INDEPENDENT ORDER OF FORESTERS	Life	Active	03/17/2010
383
Company Name	Appointment Type	Status	Active Date
LOYAL AMERICAN LIFE INSURANCE COMPANY	Health	Active	03/15/2023
17083
Company Name	Appointment Type	Status	Active Date
SILVERSCRIPT INSURANCE COMPANY	Health	Active	09/10/2023
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/20/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	09/14/2012
	Life	Active	01/27/2009

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
KINGDOM INS GROUP LLC	Designated Resp Lic Prdcr	Agency	06/11/2020	-

1 - 1