DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chamberlain, Lisa Pratt	DOIID	880309	NAIC NPN	5942242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/12/2015		10/31/2026
Active	Non Resident	Agent	Casualty	6/12/2015		10/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/12/2015		10/31/2026
* 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
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/20/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tis Ins Services Inc	523150	Agent - Property	4/7/2021
Active	Tis Ins Services Inc	523150	Agent - Casualty	4/7/2021
Active	Tis Ins Services Inc	523150	Surplus Lines Broker - Not Applicable	4/7/2021