DEPARTMENT OF INSURANCE
Affiliations
NameFay, Lisa ADOIID387235NAIC NPN729953
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/16/19939/30/2020 
InactiveResidentAgentHealth6/16/19939/30/2020 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20019/30/2020 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20129/30/2020
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health7/2/20019/19/2005
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life7/2/20019/19/2005
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Variable Life and Variable Annuities7/2/20019/19/2005
InactiveAmerican United Life Insurance Company300498Agent - Health11/4/20021/31/2005
InactiveAmerican United Life Insurance Company300498Agent - Life11/4/20021/31/2005
InactiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities11/4/20021/31/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health11/21/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/21/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Variable Life and Variable Annuities11/21/20034/1/2007
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health2/4/19987/1/1998
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life2/4/19987/1/1998
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities6/21/20011/22/2009
InactiveConnecticut General Life Insurance Company301333Agent - Health1/18/19966/2/1998
InactiveConnecticut General Life Insurance Company301333Agent - Life1/18/19966/2/1998
InactiveDelaware Life Insurance Company301256Agent - Life5/25/199912/13/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities2/11/200412/13/2006
InactiveEverlake Life Insurance Company300873Agent - Life9/30/200310/28/2003
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities1/1/20059/17/2009
InactiveFirst Colony Life Insurance Company301179Agent - Life2/28/19947/1/1998
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health10/28/19977/1/1998
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life10/28/19977/1/1998
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health11/17/19937/1/1998
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life5/7/199912/13/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities8/23/200212/13/2004
InactiveGenworth Life Insurance Company300623Agent - Health8/24/20001/29/2007
InactiveGenworth Life Insurance Company300623Agent - Life8/24/20001/29/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/26/19994/1/2003
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/26/19994/1/2003
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities4/9/20014/1/2003
InactiveGlenbrook Life and Annuity Company301384Agent - Life12/12/20031/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities5/31/20011/1/2005
InactiveING Insurance Company of America301507Agent - Life7/10/20008/18/2003
InactiveIntegrity Life Insurance Company301687Agent - Life1/17/200211/25/2008
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities1/17/200211/25/2008
InactiveJackson National Life Insurance Company300486Agent - Health6/11/19992/8/2007
InactiveJackson National Life Insurance Company300486Agent - Life6/11/199910/6/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health12/19/20037/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life12/19/20037/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities12/19/20037/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health12/19/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life12/19/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities12/19/20034/2/2007
InactiveLife Investors Insurance Company of America301793Agent - Life9/30/20039/27/2007
InactiveLincoln Benefit Life Company301110Agent - Life12/9/19944/4/1997
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/200712/15/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/200712/15/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/200712/15/2016
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Health11/19/199912/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life11/19/199912/31/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life10/28/19967/1/1998
InactiveMetLife Investors Insurance Company301872Agent - Health6/16/19937/1/1998
InactiveMetLife Investors Insurance Company301872Agent - Life6/16/19937/1/1998
InactiveNationwide Life Insurance Company300495Agent - Health8/4/19957/1/1998
InactiveNationwide Life Insurance Company300495Agent - Life12/17/20034/6/2017
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/17/20034/6/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/6/200311/29/2003
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities10/6/200311/29/2003
InactivePacific Life Insurance Company301848Agent - Life5/5/199911/1/2006
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/31/200111/1/2006
InactivePrincipal Life Insurance Company300129Agent - Health7/11/19977/1/1998
InactivePrincipal Life Insurance Company300129Agent - Life7/11/19977/1/1998
InactiveProtective Life Insurance Company300638Agent - Health4/1/200711/23/2009
InactiveProtective Life Insurance Company300638Agent - Life4/1/200711/23/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/9/200111/23/2009
InactiveReassure America Life Insurance Company301902Agent - Health8/11/19987/1/1998
InactiveReassure America Life Insurance Company301902Agent - Life8/11/19987/1/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health2/11/19987/1/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life2/11/19987/1/1998
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Health6/25/19937/1/1998
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life10/7/200212/13/2010
InactiveSunAmerica Life Insurance Company300096Agent - Health6/25/19933/31/1997
InactiveSunAmerica Life Insurance Company300096Agent - Life6/25/19933/31/1997
InactiveSymetra Life Insurance Company301691Agent - Health3/8/19943/31/1997
InactiveSymetra Life Insurance Company301691Agent - Life3/8/19943/31/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/10/20061/26/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/10/20061/26/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/10/20061/26/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/10/20061/26/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/10/20061/26/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/10/20061/26/2009
InactiveTransamerica Life Insurance Company300571Agent - Life9/30/20033/7/2008
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities9/30/20033/7/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/29/19998/26/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities5/31/20018/26/2008
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health5/22/20008/18/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life5/22/20008/18/2003
InactiveWestern National Life Insurance Company300461Agent - Life12/15/200312/31/2012
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities9/29/200311/3/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveB B & T Investment Services Inc.510955Agent - Life9/9/20049/10/2009
InactiveB B & T Investment Services Inc.510955Agent - Health9/9/20049/10/2009
InactiveB B & T Investment Services Inc.510955Agent - Variable Life and Variable Annuities9/9/20049/10/2009
InactiveBB&T Investment Services Inc707567Agent - Life7/16/20093/6/2017
InactiveBB&T Investment Services Inc707567Agent - Health7/16/200912/15/2016
InactiveBB&T Investment Services Inc707567Agent - Variable Life and Variable Annuities7/16/20093/6/2017
InactiveSecurities America Inc.400225Agent - Life2/27/20199/30/2020
DeniedSecurities America Inc.400225Agent - Health  
DeniedSecurities America Inc.400225Agent - Variable Life and Variable Annuities  
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life2/7/20032/3/2005
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health2/7/20032/3/2005
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities2/7/20032/3/2005

© Commonwealth of Kentucky. All rights reserved.