DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Lisa	DOIID	387145	NAIC NPN	2213545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	6/11/1991	3/1/2001
Inactive	Resident	Agent	Life	1/23/1991	12/1/2009
Inactive	Resident	Agent	Health	4/11/1991	12/1/2009
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	12/29/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/11/1991	3/1/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/3/1997	7/1/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/3/1997	7/1/1999
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/23/1991	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/3/1997	7/14/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/27/1998	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/27/1998	12/23/2008
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/12/1997	11/13/2002
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/12/1997	11/13/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/11/1991	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/11/1991	3/31/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	3/10/1999	1/6/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/10/1999	1/6/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/13/1997	2/24/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/13/1997	2/24/1999
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	3/13/1997	2/24/1999
Denied	Lincoln Benefit Life Company	301110	Agent - Health
Denied	Lincoln Benefit Life Company	301110	Agent - Life
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	3/21/2000	12/13/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	3/21/2000	12/13/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/14/1995	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/14/1995	12/30/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/7/1998	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/7/1998	9/3/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/21/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/21/2000	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/15/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/15/2000	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	12/30/2009
Inactive	Medlink Inc	400721	Agent - Life	11/1/1991	3/1/2004
Inactive	Medlink Inc	400721	Agent - Health	11/1/1991	3/1/2004