PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCostello, Lisa DOIID892382NAIC NPN17721667
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/29/20155/1/2019 
InactiveResidentAgentLife1/19/20165/1/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health2/26/20165/1/2019
InactiveAnthem Life Insurance Company301209Agent - Life2/26/20165/1/2019
InactiveBanner Life Insurance Company301696Agent - Life3/31/20165/1/2019
InactiveNational Health Insurance Company300554Agent - Health1/26/20161/18/2019
InactiveNational Health Insurance Company300554Agent - Life1/26/20161/18/2019
InactivePruco Life Insurance Company300954Agent - Life3/31/201612/22/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life2/26/20165/1/2019
InactiveDesignated Agent Company Inc.681257Agent - Health2/26/20165/1/2019
InactiveMedlink Inc400721Agent - Life1/29/20165/1/2019
InactiveMedlink Inc400721Agent - Health1/29/20165/1/2019

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