DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Frye, Warren R	DOIID	306701	NAIC NPN	1032689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/1998		1/31/2025
Active	Non Resident	Agent	Life	8/5/1998		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/23/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/23/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	3/23/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/23/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/23/2022
Active	Unum Insurance Company	301499	Agent - Health	3/23/2022
Active	Unum Insurance Company	301499	Agent - Life	3/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/29/2022
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/29/2022