DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hyman, Lisa Kay	DOIID	520208	NAIC NPN	7002718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	3/8/2001	3/6/2010
Active	Resident	Agent	Health	10/15/2020		4/30/2026
Active	Resident	Agent	Life	10/15/2020		4/30/2026
Active	Resident	Agent	Casualty	8/28/2018		4/30/2026
Active	Resident	Agent	Property	8/28/2018		4/30/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/3/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	11/3/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	11/3/2020
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	11/30/2018	12/9/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	11/30/2018	12/9/2019
Active	Kentucky Hospital Insurance Company RRG	573734	Agent - Casualty	10/18/2018
Active	Obsidian Insurance Company	301819	Agent - Casualty	11/14/2022
Active	Obsidian Insurance Company	301819	Agent - Health	11/14/2022
Active	Obsidian Insurance Company	301819	Agent - Property	11/14/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/30/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/30/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	11/30/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Property	11/30/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/30/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/30/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/30/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Property	11/30/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	11/30/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Property	11/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Casualty	10/18/2018
Active	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Property	11/30/2018
Active	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Life	11/3/2020
Active	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Health	11/3/2020