DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Herold, Lisa J	DOIID	328546	NAIC NPN	3345384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	3/25/2013	2/28/2019
Active	Resident	Agent	Health	10/29/1999		2/28/2025
Active	Resident	Agent	Life	10/29/1999		2/28/2025
* 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	Aetna Health Inc.	300694	Agent - Health	7/18/2006	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007
Active	Aetna Life Insurance Company	301140	Agent - Health	7/18/2006
Active	Aetna Life Insurance Company	301140	Agent - Life	7/18/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/25/2011	6/29/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/25/2011	6/29/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/11/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Management, LLC	565487	Administrator - Not Applicable	3/27/2013	2/28/2019
Inactive	Aetna Health Management, LLC	565487	Administrator - Not Applicable	11/22/2016	2/28/2019
Inactive	Aetna Life Insurance Company (TPA)	563830	Administrator - Not Applicable	3/27/2013	2/28/2019
Inactive	Aetna Medicaid Administrators LLC	864675	Administrator - Not Applicable	12/30/2014	2/28/2019
Inactive	Bswift LLC	837395	Administrator - Not Applicable	4/3/2017	2/28/2019
Inactive	Inspira Financial Health, Inc.	896649	Administrator - Not Applicable	10/23/2015	2/28/2019