DEPARTMENT OF INSURANCE
Affiliations
NameMattingly, Lisa MDOIID329804NAIC NPN1472917
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty12/4/2009 9/30/2025
ActiveResidentAgentHealth12/4/2009 9/30/2025
ActiveResidentAgentLife12/4/2009 9/30/2025
ActiveResidentAgentCasualty12/4/2009 9/30/2025
InactiveResidentAgentGeneral Lines6/7/199512/1/1997 
InactiveResidentAgentHealth Maintenance Organization2/24/19983/1/2001 
* 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
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health3/13/2023 
ActiveALPHA Dental Programs, Inc.635438Agent - Health8/26/2015 
ActiveAccendo Insurance Company300312Agent - Health7/25/2022 
ActiveAccendo Insurance Company300312Agent - Life7/25/2022 
InactiveAetna Health Inc.300694Agent - Health7/27/200412/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health9/25/2013 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/22/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/25/2013 
ActiveAetna Life Insurance Company301140Agent - Life9/25/2013 
ActiveAll Savers Insurance Company301940Agent - Health9/28/2020 
ActiveAll Savers Insurance Company301940Agent - Life9/28/2020 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/26/2012 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/26/2012 
InactiveAmerican Fidelity Assurance Company301004Agent - Health4/15/200412/5/2006
InactiveAmerican Fidelity Assurance Company301004Agent - Life4/15/200412/5/2006
InactiveAmerican General Life Insurance Company301585Agent - Health7/25/20101/26/2018
InactiveAmerican General Life Insurance Company301585Agent - Life7/25/20101/26/2018
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health6/10/201112/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life6/10/201112/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health7/21/201012/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life7/21/201012/31/2012
ActiveAmerican Heritage Life Insurance Company300272Agent - Health12/21/2018 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life12/21/2018 
InactiveAmerican United Life Insurance Company300498Agent - Health1/28/20107/28/2017
InactiveAmerican United Life Insurance Company300498Agent - Life1/28/20107/28/2017
ActiveAmeritas Life Insurance Corporation300126Agent - Health1/21/2011 
ActiveAmeritas Life Insurance Corporation300126Agent - Life1/21/2011 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/4/2023 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization2/24/19983/1/2001
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/27/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/4/2023 
ActiveAnthem Life Insurance Company301209Agent - Life6/4/2023 
InactiveArcadian Health Plan, Inc.728196Agent - Health10/12/201712/12/2024
ActiveBanner Life Insurance Company301696Agent - Life2/5/2024 
ActiveCHA HMO, Inc.300662Agent - Health12/11/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life5/8/2024 
ActiveCitizens Security Life Insurance Company301257Agent - Health2/29/2012 
ActiveColonial Life and Accident Insurance Company300846Agent - Health9/1/2014 
ActiveColonial Life and Accident Insurance Company300846Agent - Life9/1/2014 
InactiveCompBenefits Dental, Inc.591692Agent - Health8/13/201012/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health8/13/20107/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life8/13/20107/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health7/27/20116/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life7/27/20116/11/2014
ActiveContinental American Insurance Company301700Agent - Health11/10/2011 
ActiveContinental American Insurance Company301700Agent - Life11/10/2011 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/25/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
ActiveDearborn Life Insurance Company300401Agent - Health11/2/2016 
ActiveDearborn Life Insurance Company300401Agent - Life11/2/2016 
Pending ReplacementDental Care Plus Inc.301495Agent - Health7/8/2014 
ActiveDental Concern Inc. (The)301641Agent - Health12/19/2018 
ActiveFidelity Security Life Insurance Company300466Agent - Health2/19/2013 
ActiveFidelity Security Life Insurance Company300466Agent - Life2/19/2013 
InactiveFirst Colony Life Insurance Company301179Agent - Health8/25/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/25/20031/1/2007
ActiveFirst Health Life & Health Insurance Company301735Agent - Health7/19/2012 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
ActiveGolden Rule Insurance Company301943Agent - Health11/24/2015 
ActiveGolden Rule Insurance Company301943Agent - Life11/24/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Health11/4/2019 
ActiveGuardian Life Insurance Company of America301316Agent - Life11/4/2019 
ActiveHartford Life and Accident Insurance Company300878Agent - Health12/17/2009 
ActiveHartford Life and Accident Insurance Company300878Agent - Life12/17/2009 
ActiveHealth Resources Inc.301210Agent - Health3/18/2013 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/8/201412/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/12/201812/12/2024
ActiveHumana Health Plan, Inc.300142Agent - Health8/13/2010 
ActiveHumana Insurance Company301104Agent - Health8/13/2010 
ActiveHumana Insurance Company301104Agent - Life8/13/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Health2/5/2025 
ActiveHumana Insurance Company of Kentucky300826Agent - Life2/5/2025 
InactiveHumana Medical Plan, Inc.801568Agent - Health10/8/201412/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/12/2024
InactiveHumanaDental Insurance Company301457Agent - Health8/13/20105/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life8/13/20105/13/2013
InactiveKanawha Insurance Company300127Agent - Health8/13/20101/22/2018
InactiveKanawha Insurance Company300127Agent - Life8/13/20101/22/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/25/201310/29/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/23/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/23/2010 
InactiveMedical Life Insurance Company300693Agent - Health12/30/199612/31/2004
InactiveMedical Life Insurance Company300693Agent - Life12/30/199612/31/2004
ActiveMetropolitan Life Insurance Company301948Agent - Health1/11/2013 
ActiveMetropolitan Life Insurance Company301948Agent - Life1/11/2013 
ActiveMutual of Omaha Insurance Company301012Agent - Health11/16/2012 
ActiveNational Guardian Life Insurance Company300596Agent - Health3/7/2018 
ActiveNational Health Insurance Company300554Agent - Health6/19/2018 
ActiveNational Health Insurance Company300554Agent - Life6/19/2018 
InactiveNationwide Life Insurance Company300495Agent - Health1/29/20146/29/2018
InactiveNationwide Life Insurance Company300495Agent - Life1/29/20146/29/2018
ActiveObsidian Insurance Company301819Agent - Casualty10/10/2022 
ActiveObsidian Insurance Company301819Agent - Health10/10/2022 
ActiveObsidian Insurance Company301819Agent - Property10/10/2022 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health1/19/201111/5/2011
ActivePacific Life Insurance Company301848Agent - Health3/22/2024 
ActivePacific Life Insurance Company301848Agent - Life3/22/2024 
InactivePartnerRe Life Reinsurance Company of America300550Agent - Health12/1/20049/30/2009
InactivePartnerRe Life Reinsurance Company of America300550Agent - Life12/1/20049/30/2009
InactivePrincipal Life Insurance Company300129Agent - Health8/6/19979/30/2009
InactivePrincipal Life Insurance Company300129Agent - Life8/6/19979/30/2009
ActiveProtective Life Insurance Company300638Agent - Health4/3/2023 
ActiveProtective Life Insurance Company300638Agent - Life4/3/2023 
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/2/20099/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/2/20099/30/2009
ActiveReliance Standard Life Insurance Company300584Agent - Health8/1/2010 
ActiveReliance Standard Life Insurance Company300584Agent - Life8/1/2010 
ActiveSilverScript Insurance Company663526Agent - Health12/10/2015 
ActiveStandard Insurance Company300185Agent - Health11/7/2013 
ActiveStandard Insurance Company300185Agent - Life11/7/2013 
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines6/7/199512/1/1997
ActiveSun Life Assurance Company of Canada301811Agent - Health4/6/2010 
ActiveSun Life Assurance Company of Canada301811Agent - Life4/6/2010 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health4/6/20108/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life4/6/20108/22/2011
Pending ReplacementSuperior Dental Care Inc.300418Agent - Health8/2/2010 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTime Insurance Company300683Agent - Health6/19/201811/23/2019
InactiveTime Insurance Company300683Agent - Life6/19/201811/23/2019
ActiveTransamerica Life Insurance Company300571Agent - Health2/22/2010 
ActiveTransamerica Life Insurance Company300571Agent - Life2/22/2010 
InactiveUNUM Life Insurance Company of America300817Agent - Health1/2/20099/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life1/2/20099/30/2009
InactiveUnion Security Insurance Company301844Agent - Health7/24/19989/30/2009
InactiveUnion Security Insurance Company301844Agent - Life7/24/19989/30/2009
ActiveUnited World Life Insurance Company300532Agent - Health1/20/2020 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health11/16/2012 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life11/16/2012 
ActiveUnitedHealthcare Insurance Company300946Agent - Health1/19/2011 
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/28/2020 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/24/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/24/201511/4/2016
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/6/2022 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/19/201112/1/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
ActiveVision Service Plan Insurance Company300526Agent - Health10/5/2022 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/29/20194/8/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/29/20194/8/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health12/8/19942/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Life12/8/19942/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health5/18/20101/4/2013
InactiveArison Insurance Services, Inc.401001Agent - Life5/18/20101/4/2013
DeniedArison Insurance Services, Inc.401001Agent - Casualty  
DeniedArison Insurance Services, Inc.401001Agent - Property  
ActiveDental Choice Agency Inc.398085Agent - Health2/7/2012 
InactiveDesignated Agent Company Inc.681257Agent - Health12/11/20132/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Life12/11/20132/10/2025
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
ActiveKBA Benefit Solutions, LLC774036Agent - Health2/3/2012 
ActiveKBA Benefit Solutions, LLC774036Agent - Life2/3/2012 
ActiveKenbanc Ins Inc398866Agent - Health2/7/2012 
ActiveKenbanc Ins Inc398866Agent - Life2/7/2012 
InactiveMcgriff Insurance Services, LLC400877Agent - Health6/25/20076/8/2009
InactiveMcgriff Insurance Services, LLC400877Agent - Life6/25/20076/8/2009
ActivePlanchoice Inc.400482Agent - Health10/17/2014 
ActivePlanchoice Inc.400482Agent - Life10/17/2014 

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