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
InactiveResidentAgentHealth Maintenance Organization2/24/19983/1/2001 
InactiveResidentAgentGeneral Lines6/7/199512/1/1997 
* 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
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
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/27/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/4/2023 
ActiveAnthem Life Insurance Company301209Agent - Life6/4/2023 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
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 
ActiveDental 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 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/8/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/12/2018 
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 - Health8/13/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Life8/13/2010 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/8/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/2016 
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
ActiveSuperior 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 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
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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