DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Non Resident	Agent	Life	9/30/2022	12/31/2024
Inactive	Non Resident	Agent	Health	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.

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
Inactive	Accendo Insurance Company	300312	Agent - Life	3/29/2023	12/31/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/5/2022	12/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/29/2023	12/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2022	12/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/5/2022	12/31/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/5/2023	12/31/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/2/2024	1/24/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/23/2024	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/23/2024	1/6/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2023	12/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/29/2023	12/31/2024
Inactive	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/15/2024	12/31/2024
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	10/14/2022	12/24/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/5/2022	12/31/2024
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/20/2022	12/31/2024
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/20/2022	12/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/20/2022	12/31/2024
Inactive	Optavise, LLC	671337	Agent - Health	11/17/2022	12/31/2024