DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tabak, Lisa	DOIID	1256193	NAIC NPN	20477581

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	4/24/2025		12/31/2025
Pending Replacement	Non Resident	Agent	Life	4/24/2025		12/31/2025
Pending Replacement	Non Resident	Agent	Personal Lines	2/14/2023		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
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/29/2025
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/29/2025
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	2/21/2023	1/22/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	4/29/2025
Pending Replacement	United Home Life Insurance Company	300421	Agent - Life	6/6/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	3/20/2023	1/22/2024