DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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