DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haryono, Lisa	DOIID	1439419	NAIC NPN	7491390

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/16/2025		11/30/2027
Active	Non Resident	Agent	Casualty	12/16/2025		11/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/19/2025		11/30/2027
* 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
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/31/2025
Active	Zurich American Insurance Company	301121	Agent - Property	12/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	1/9/2026
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	1/9/2026
Active	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	1/9/2026