DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Mikaela	DOIID	1148044	NAIC NPN	17648822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/30/2021		5/31/2027
Active	Non Resident	Agent	Health	7/30/2021		5/31/2027
* 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	03/15/2025	05/31/2025	04/22/2025	04/22/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	4/25/2022
Active	American General Life Insurance Company	301585	Agent - Life	4/25/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/7/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crump Life Insurance Services LLC	505491	Agent - Life	5/23/2022
Active	Crump Life Insurance Services LLC	505491	Agent - Health	5/23/2022