DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Demarzo, Lisa Marie	DOIID	765671	NAIC NPN	16354225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/21/2020	7/31/2021
Inactive	Non Resident	Agent	Life	10/4/2011	7/31/2015
Inactive	Non Resident	Agent	Personal Lines	1/8/2012	7/31/2015
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2020	5/8/2021
Inactive	Continental American Insurance Company	301700	Agent - Health	10/7/2011	7/31/2015
Inactive	Continental American Insurance Company	301700	Agent - Life	10/7/2011	7/31/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	1/21/2012	2/2/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/30/2013	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/30/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/30/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/30/2013	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/23/2020	3/23/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/23/2020	3/23/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/23/2020	3/23/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/23/2020	3/23/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/31/2020	5/8/2021
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	1/25/2012	2/15/2012
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	1/25/2012	2/2/2012