DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Jeffery A	DOIID	308282	NAIC NPN	7159285

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	7/14/1998	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	7/13/1998	4/19/1999
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/28/2006
* 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	American National Property and Casualty Company	300392	Agent - Credit Personal Property & Unemployment	7/13/1998	4/19/1999
Inactive	First Colonial Insurance Company	300752	Agent - Limited Line Credit	9/5/2000	9/6/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	3/16/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	4/11/2005
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	9/29/2005	2/28/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	7/14/1998	3/31/1999
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	6/3/2003	2/28/2006
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	12/11/1998	4/9/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corbin Financial Services, Inc.	519816	Agent - Limited Line Credit	1/9/2001	2/28/2006