DEPARTMENT OF INSURANCE

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