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DEPARTMENT OF INSURANCE
Affiliations
Name
Provost, Lisa M
DOIID
945532
NAIC NPN
8402653
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
7/6/2020
3/31/2026
Active
Non Resident
Agent
Casualty
4/27/2022
3/31/2026
Active
Non Resident
Agent
Property
4/27/2022
3/31/2026
Active
Non Resident
Agent
Health
7/6/2020
3/31/2026
* 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
Inactive
All Savers Insurance Company
301940
Agent - Health
10/10/2023
5/31/2024
Inactive
All Savers Insurance Company
301940
Agent - Life
10/10/2023
5/31/2024
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
9/14/2022
7/25/2024
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
9/14/2022
7/25/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
8/24/2020
5/31/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
8/24/2020
5/31/2024
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
8/24/2020
5/31/2024
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
8/24/2020
5/31/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Paychex Insurance Agency Inc
509469
Agent - Life
1/29/2021
5/31/2024
Inactive
Paychex Insurance Agency Inc
509469
Agent - Health
1/29/2021
5/31/2024
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