DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelfrey, Lisa Susanne	DOIID	587769	NAIC NPN	8044391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/21/2004	3/1/2009
Inactive	Resident	Agent	Health	7/21/2004	3/1/2009
* 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 Life Insurance Company	301209	Agent - Health	8/1/2004	3/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/1/2004	3/1/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/25/2006	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/25/2006	12/29/2008

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 - Health	8/26/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/26/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	3/1/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	3/1/2009