DEPARTMENT OF INSURANCE
Affiliations
NameGreen, Lisa ShawonDOIID1225387NAIC NPN17123287
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/24/2022 7/31/2025
ActiveNon ResidentAgentHealth8/24/2022 7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health8/29/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/29/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/29/2022 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/21/202312/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/21/202312/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health3/21/202312/16/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health10/12/202212/12/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health3/21/202312/16/2024
InactiveHumana Insurance Company301104Agent - Health9/6/202212/12/2024
ActiveSilverScript Insurance Company663526Agent - Health8/29/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTrubridge Inc717747Agent - Life  
InactiveTrubridge Inc717747Agent - Health10/26/20226/6/2023

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