DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Lisa Ann	DOIID	314387	NAIC NPN	7162208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/14/1993	7/1/1998
Inactive	Resident	Agent	Health	6/14/1993	7/1/1998
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/9/1995	7/1/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/9/1995	7/1/1996
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/9/1997	7/1/1998
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/9/1997	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/14/1993	7/1/1996
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/14/1993	7/1/1996