DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pittsley, Lisa Jo	DOIID	835720	NAIC NPN	16865222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/11/2014		10/31/2026
Active	Non Resident	Agent	Life	3/11/2014		10/31/2026
* 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
Active	HCC Life Insurance Company	301827	Agent - Health	11/6/2017
Active	HCC Life Insurance Company	301827	Agent - Life	11/6/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/4/2017
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/17/2023
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/17/2023
Active	QBE Insurance Corporation	300515	Agent - Health	4/10/2017
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	10/27/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	10/27/2020
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	4/17/2019
Active	Symetra Life Insurance Company	301691	Agent - Life	4/17/2019
Active	Union Labor Life Insurance Company	301832	Agent - Health	5/15/2023
Active	Union Labor Life Insurance Company	301832	Agent - Life	5/15/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/16/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/16/2016
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2023
Inactive	Westport Insurance Corporation	301875	Agent - Health	8/17/2020	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UMR, Inc.	513551	Agent - Health	1/12/2017
Active	UMR, Inc.	513551	Agent - Life	1/12/2017