DEPARTMENT OF INSURANCE

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