DEPARTMENT OF INSURANCE
Affiliations
NameTabak, Lisa DOIID1256193NAIC NPN20477581
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/24/2025 12/31/2025
ActiveNon ResidentAgentLife4/24/2025 12/31/2025
ActiveNon ResidentAgentPersonal Lines2/14/2023 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/29/2025 
ActiveAetna Life Insurance Company301140Agent - Health4/29/2025 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health6/16/2025 
InactiveProgressive Direct Insurance Company301379Agent - Personal Lines2/21/20231/22/2024
ActiveSilverScript Insurance Company663526Agent - Health4/29/2025 
ActiveUnited Home Life Insurance Company300421Agent - Life6/6/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTtec Financial Services Management LLC881063Agent - Personal Lines3/20/20231/22/2024

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