DEPARTMENT OF INSURANCE
Affiliations
NameKormelink, Lisa LibsDOIID809590NAIC NPN10262192
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth5/7/2013 11/30/2025
ActiveNon ResidentAgentLife5/7/2013 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2014 
ActiveAetna Health Insurance Company301583Agent - Health9/10/2014 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/23/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/10/2014 
ActiveAetna Life Insurance Company301140Agent - Life9/10/2014 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/22/20164/17/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life4/22/20164/17/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health4/18/20165/11/2017
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/2/20162/28/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health9/3/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/5/202312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health7/8/201312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life7/8/201312/16/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health6/15/201812/10/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Health7/11/201912/8/2020
InactiveChesapeake Life Insurance Company (The)301017Agent - Life7/11/201912/8/2020
InactiveCombined Insurance Company of America301472Agent - Health10/2/20151/12/2022
InactiveCompBenefits Dental, Inc.591692Agent - Health6/26/201312/8/2015
InactiveCompcare Health Services Insurance Corporation948751Agent - Health12/5/202312/16/2024
InactiveConnecticut General Life Insurance Company301333Agent - Health8/9/20136/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life8/9/20136/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
InactiveDental Concern Inc. (The)301641Agent - Health5/25/201812/10/2018
InactiveEverly Life Insurance Company561641Agent - Life1/2/201412/28/2016
ActiveFamily Life Insurance Company300356Agent - Life6/30/2015 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/24/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/10/2014 
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health10/6/201412/27/2017
ActiveGuarantee Trust Life Insurance Company301043Agent - Health4/27/2022 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life4/27/2022 
InactiveHCC Life Insurance Company301827Agent - Health11/16/201510/3/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/3/201812/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/26/20134/10/2017
InactiveHumana Health Plan, Inc.300142Agent - Health10/5/20176/15/2018
ActiveHumana Insurance Company301104Agent - Health4/10/2025 
InactiveHumana Insurance Company301104Agent - Life10/5/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/15/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/15/201812/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/5/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/5/20176/15/2018
InactiveKanawha Insurance Company300127Agent - Health6/26/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/26/201310/22/2015
InactiveLumico Life Insurance Company300354Agent - Life7/11/201911/21/2024
InactiveMedico Insurance Company301559Agent - Health7/2/201312/19/2014
InactiveMedico Insurance Company301559Agent - Life7/2/201312/19/2014
ActiveMutual of Omaha Insurance Company301012Agent - Health12/26/2024 
InactiveReserve National Insurance Company301073Agent - Health4/9/20184/11/2019
InactiveReserve National Insurance Company301073Agent - Life4/9/20184/11/2019
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life6/21/20172/13/2019
InactiveSILAC Insurance Company300535Agent - Health3/7/201811/5/2020
InactiveSILAC Insurance Company300535Agent - Life3/7/201811/5/2020
ActiveSilverScript Insurance Company663526Agent - Health10/27/2014 
InactiveTime Insurance Company300683Agent - Health1/12/201511/23/2019
InactiveTime Insurance Company300683Agent - Life1/12/201511/23/2019
InactiveUnified Life Insurance Company543169Agent - Health11/21/201512/12/2017
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Health5/13/201911/16/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/28/201312/11/2018
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/11/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/11/2018
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/28/201312/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/201512/11/2018
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/201912/12/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life7/8/20132/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health7/8/20132/10/2025
ActiveGoldenCare USA, LLC398142Agent - Life3/2/2018 
ActiveGoldenCare USA, LLC398142Agent - Health3/2/2018 
ActiveNational Independent Brokers, LLC502029Agent - Life3/2/2018 
ActiveNational Independent Brokers, LLC502029Agent - Health3/2/2018 

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