DEPARTMENT OF INSURANCE

Affiliations

Name	Witten-Gibson, Lisa Gail	DOIID	348032	NAIC NPN	4795619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		9/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		9/30/2025
Active	Resident	Agent	Property	8/15/2000		9/30/2025
Active	Resident	Agent	Health	7/18/1994		9/30/2025
Active	Resident	Agent	Life	7/18/1994		9/30/2025
Inactive	Resident	Agent	General Lines	7/18/1994	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/17/2003	11/30/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/17/2003	11/30/2004
Active	American National General Insurance Company	301944	Agent - Casualty	8/15/2000
Inactive	American National General Insurance Company	301944	Agent - General Lines	2/14/1996	8/15/2000
Active	American National General Insurance Company	301944	Agent - Property	8/15/2000
Active	American National Insurance Company	301861	Agent - Health	7/18/1994
Active	American National Insurance Company	301861	Agent - Life	7/18/1994
Active	American National Insurance Company	301861	Agent - Variable Life and Variable Annuities	5/31/2001
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	11/13/2007	12/2/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	11/13/2007	12/2/2010
Active	American National Property and Casualty Company	300392	Agent - Casualty	8/15/2000
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	7/18/1994	8/15/2000
Active	American National Property and Casualty Company	300392	Agent - Property	8/15/2000
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/15/2021
Active	Bristol West Insurance Company	301655	Agent - Property	12/15/2021
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/30/1998	3/11/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	12/20/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/29/2015	5/10/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/29/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/29/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/29/2015	5/10/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/14/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/14/2025
Active	Grange Insurance Company	300234	Agent - Casualty	1/14/2025
Active	Grange Insurance Company	300234	Agent - Property	1/14/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/14/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/14/2025
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/23/1999	12/28/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/23/1999	12/28/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/6/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/6/2003	6/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/23/1998	4/13/2001
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/23/1998	4/13/2001
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	9/18/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Property	9/18/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/4/2015
Active	Progressive Casualty Insurance Company	300696	Agent - Property	8/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/1997	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/1997	8/24/2000
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/25/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/25/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/26/2011	8/27/2014
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/26/2011	8/27/2014
Active	The Phoenix Insurance Company	301502	Agent - Casualty	9/25/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	9/25/2024
Inactive	Time Insurance Company	300683	Agent - Health	5/14/2003	7/9/2013
Inactive	Time Insurance Company	300683	Agent - Life	5/14/2003	7/9/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/25/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/25/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/25/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	9/25/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/25/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/25/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/25/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/25/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/25/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/25/2024
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/14/2025
Active	Trustgard Insurance Company	300104	Agent - Property	1/14/2025
Active	United Financial Casualty Company	301886	Agent - Casualty	8/4/2015
Active	United Financial Casualty Company	301886	Agent - Property	8/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berthel Fisher & Company Insurance Inc	678071	Agent - Variable Life and Variable Annuities	7/10/2015
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	Voldico LLC	735084	Agent - Life	10/29/2024
Active	Voldico LLC	735084	Agent - Health	10/29/2024
Active	Voldico LLC	735084	Agent - Property	10/29/2024
Active	Voldico LLC	735084	Agent - Casualty	10/29/2024