DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Dori Ann	DOIID	1232411	NAIC NPN	20453409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/24/2022	4/30/2024
Inactive	Non Resident	Agent	Life	9/24/2022	4/30/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/27/2022	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/2022	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/2022	2/6/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/4/2022	8/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/4/2022	8/3/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/11/2022	10/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022	12/7/2023
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022	12/7/2023