DEPARTMENT OF INSURANCE

Affiliations

Name	Dalton, Lisa	DOIID	889656	NAIC NPN	17702980

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/15/2021	10/2/2023
Inactive	Non Resident	Agent	Life	8/9/2022	10/2/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/4/2021	10/2/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/4/2021	10/2/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/4/2021	10/2/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/29/2016	8/8/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/29/2016	8/8/2017
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/8/2016	10/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/4/2015	4/8/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/4/2015	5/17/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/28/2016	5/17/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2016	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/4/2015	4/8/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/4/2015	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/3/2023	10/2/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/4/2021	10/2/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/27/2022	8/31/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/27/2022	8/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/2/2016	11/23/2016
Inactive	Trubridge Inc	717747	Agent - Life	2/2/2016	11/23/2016