DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Tisha Larice	DOIID	1233954	NAIC NPN	8960237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/2022		12/31/2024
Active	Non Resident	Agent	Life	9/30/2022		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/29/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/29/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/5/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/29/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/5/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/5/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/23/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/23/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/29/2023
Active	Essence Healthcare, Inc.	657425	Agent - Health	10/14/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/5/2022
Active	Trustmark Insurance Company	300317	Agent - Health	10/20/2022
Active	Trustmark Insurance Company	300317	Agent - Life	10/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	10/20/2022
Active	Optavise, LLC	671337	Agent - Health	11/17/2022