DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Borden, Lisa Michele	DOIID	592824	NAIC NPN	8173983

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/4/2008	5/31/2015
Inactive	Non Resident	Agent	Health	6/4/2008	5/31/2015
* 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	CMFG Life Insurance Company	300929	Agent - Health	6/23/2008	8/6/2013
Inactive	CMFG Life Insurance Company	300929	Agent - Life	6/23/2008	8/6/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/16/2004	10/24/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/16/2004	10/24/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CUNA Mutual Insurance Agency, Inc	573668	Agent - Health	3/12/2012	8/7/2013
Inactive	CUNA Mutual Insurance Agency, Inc	573668	Agent - Life	3/12/2012	8/7/2013
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life