DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pittsley, Lisa Jo	DOIID	835720	NAIC NPN	16865222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/11/2014		10/31/2024
Active	Non Resident	Agent	Life	3/11/2014		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HCC Life Insurance Company	301827	Agent - Health	11/6/2017
Active	HCC Life Insurance Company	301827	Agent - Life	11/6/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/4/2017
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/17/2023
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/17/2023
Active	QBE Insurance Corporation	300515	Agent - Health	4/10/2017
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	10/27/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	10/27/2020
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	4/17/2019
Active	Symetra Life Insurance Company	301691	Agent - Life	4/17/2019
Active	Union Labor Life Insurance Company	301832	Agent - Health	5/15/2023
Active	Union Labor Life Insurance Company	301832	Agent - Life	5/15/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/16/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/16/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2023
Inactive	Westport Insurance Corporation	301875	Agent - Health	8/17/2020	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UMR, Inc.	513551	Agent - Health	1/12/2017
Active	UMR, Inc.	513551	Agent - Life	1/12/2017