black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL T. LISA

PRODUCER NON-RESIDENT

License Number:
PRN161828
Status:
First Licensure:
12/23/2008
Cancel Date:
None

Mailing:
NEW YORK, NY 10036
Phone:
+1 (646) 708-8301
Fax:
+1 (646) 708-8351
Email:
mike.lisa@corpsyn.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/23/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
CORPORATE SYNERGIES GROUP LLC
10/17/2022 AGN126663

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
01/21/2020 PCF62719
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
03/09/2023 LHF214634 04/07/2023
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
03/18/2014 LHF100
HUMANA INSURANCE COMPANY
09/21/2012 LHF980 10/28/2015
NATIONWIDE LIFE INSURANCE COMPANY
10/10/2023 LHF29
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
03/09/2023 LHF58195 04/07/2023
UNITEDHEALTHCARE INSURANCE COMPANY
03/09/2023 LHF700 04/07/2023
UNITEDHEALTHCARE OF WISCONSIN, INC.
03/09/2023 HMF376407 04/07/2023

Authority

Description Issue Date Termination Date Status
HEALTH 12/23/2008 Active
LIFE 12/23/2008 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3290840

Other Addresses

Address Type
CORPORATE SYNERGIES GROUP LLC
1212 AVENUE OF THE AMERICAS FL 9
NEW YORK, NY 10036-1624
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/24/2025 04:17:55 PM