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DEPARTMENT OF INSURANCE
Affiliations
Name
Church, Lisa Ann
DOIID
346975
NAIC NPN
651061
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
8/28/2008
3/31/2012
Inactive
Non Resident
Agent
Health
8/28/2008
3/31/2012
* 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
Balboa Life Insurance Company
301327
Agent - Health
7/13/2010
5/4/2011
Inactive
Balboa Life Insurance Company
301327
Agent - Life
7/13/2010
5/4/2011
Inactive
Continental Casualty Company
301019
Agent - Health
8/6/2001
12/2/2004
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Health
5/21/2001
8/27/2003
Inactive
Guarantee Reserve Life Insurance Company
300608
Agent - Life
5/21/2001
8/27/2003
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
5/5/2004
3/31/2008
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
5/5/2004
3/31/2008
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Health
9/18/2008
3/31/2012
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Health
7/3/1996
3/3/2006
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
7/3/1996
3/3/2006
Inactive
Stonebridge Life Insurance Company
301614
Agent - Health
1/26/2009
2/6/2010
Inactive
Stonebridge Life Insurance Company
301614
Agent - Life
1/26/2009
2/6/2010
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
1/26/2009
2/6/2010
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
1/26/2009
2/6/2010
Inactive
Veterans Life Insurance Company
300589
Agent - Health
3/3/2000
3/3/2006
Inactive
Veterans Life Insurance Company
300589
Agent - Life
3/3/2000
3/3/2006
Inactive
Wilcac Life Insurance Company
301573
Agent - Health
8/6/2001
12/2/2004
Inactive
Wilcac Life Insurance Company
301573
Agent - Life
8/6/2001
12/2/2004
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
TeleSpectrum, Inc
512199
Agent - Life
7/31/2000
5/2/2003
Inactive
TeleSpectrum, Inc
512199
Agent - Health
7/31/2000
5/2/2003
Inactive
Telespectrum Inc
604670
Agent - Life
4/26/2005
3/31/2008
Inactive
Telespectrum Inc
604670
Agent - Health
4/26/2005
3/31/2008
Inactive
e-Telequote Insurance, Inc.
687772
Agent - Life
1/26/2009
1/27/2010
Inactive
e-Telequote Insurance, Inc.
687772
Agent - Health
12/8/2008
1/27/2010
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