DEPARTMENT OF INSURANCE
Affiliations
NameFrederick, Marilyn BennettDOIID338349NAIC NPN1643865
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth1/4/19825/14/2001 
InactiveResidentAgentLife1/4/19825/14/2001 
InactiveResidentAgentVariable Life and Variable Annuities2/22/20012/23/2001 
InactiveResidentAgentHealth Maintenance Organization1/23/199811/1/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAll American Life Insurance Company300702Agent - Health12/2/19944/19/2001
InactiveAll American Life Insurance Company300702Agent - Life12/2/19944/19/2001
InactiveAllianz Life Insurance Company of North America301791Agent - Life5/19/19992/23/2001
InactiveAmerican Heritage Life Insurance Company300272Agent - Health11/2/19942/23/2001
InactiveAmerican Heritage Life Insurance Company300272Agent - Life11/2/19942/23/2001
InactiveAnthem Life Insurance Company301209Agent - Health2/10/19946/7/2000
InactiveAnthem Life Insurance Company301209Agent - Life2/10/19946/7/2000
InactiveChase Insurance Life and Annuity Company300518Agent - Health7/26/19945/14/2001
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/26/19945/14/2001
InactiveContinental Casualty Company301019Agent - Health1/14/19932/23/2001
InactiveDelaware Life Insurance Company301256Agent - Life3/3/19922/23/2001
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities2/22/20012/23/2001
InactiveFirst Colony Life Insurance Company301179Agent - Health8/20/19852/23/2001
InactiveFirst Colony Life Insurance Company301179Agent - Life8/20/19852/23/2001
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/26/19982/23/2001
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/26/19982/23/2001
InactiveGenworth Life Insurance Company300623Agent - Health10/15/19902/23/2001
InactiveGenworth Life Insurance Company300623Agent - Life10/15/19902/23/2001
InactiveGuarantee Life Insurance Company301560Agent - Health7/25/19959/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life7/25/19959/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health6/23/19872/23/2001
InactiveGuardian Life Insurance Company of America301316Agent - Life6/23/19872/23/2001
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization1/23/199811/1/2000
InactiveHumana Insurance Company301104Agent - Health12/30/199711/1/2000
InactiveHumana Insurance Company301104Agent - Life12/30/199711/1/2000
InactiveIntegrity Life Insurance Company301687Agent - Life8/14/19962/23/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20002/23/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20002/23/2001
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health4/4/19955/1/1997
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life4/4/19955/1/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life4/3/19976/7/2000
InactiveMONY Life Insurance Company301141Agent - Health1/4/19822/23/2001
InactiveMONY Life Insurance Company301141Agent - Life1/4/19822/23/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life10/9/19972/23/2001
InactiveMidland Life Insurance Company (The)300310Agent - Health10/17/19962/23/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life10/17/19962/23/2001
InactiveNationwide Life Insurance Company300495Agent - Health7/24/19962/23/2001
InactiveNationwide Life Insurance Company300495Agent - Life7/24/19962/23/2001
InactiveOld Republic Life Insurance Company301214Agent - Health3/13/19921/17/1996
InactiveOld Republic Life Insurance Company301214Agent - Life3/13/19921/17/1996
InactivePHL Variable Insurance Company300525Agent - Health1/18/19953/31/1997
InactivePHL Variable Insurance Company300525Agent - Life1/18/19953/31/1997
InactivePaul Revere Life Insurance Company300971Agent - Health7/8/19988/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life7/8/19988/24/2000
InactivePrincipal Life Insurance Company300129Agent - Health10/16/19862/23/2001
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/8/19982/23/2001
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/8/19982/23/2001
InactiveReassure America Life Insurance Company300678Agent - Health8/20/19933/31/1997
InactiveReassure America Life Insurance Company300678Agent - Life8/20/19933/31/1997
InactiveReliance Standard Life Insurance Company300584Agent - Health8/3/19873/31/1997
InactiveReliance Standard Life Insurance Company300584Agent - Life8/3/19873/31/1997
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health3/24/19922/23/2001
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life3/24/19922/23/2001
InactiveSouthwestern Life Insurance Company301343Agent - Health5/20/19922/23/2001
InactiveSouthwestern Life Insurance Company301343Agent - Life5/20/19922/23/2001
InactiveTime Insurance Company300683Agent - Health5/17/199912/15/2000
InactiveTime Insurance Company300683Agent - Life5/17/199912/15/2000
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health3/19/19972/23/2001
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life3/19/19972/23/2001
InactiveUnion Security Insurance Company301844Agent - Health12/12/19962/23/2001
InactiveUnion Security Insurance Company301844Agent - Life12/12/19962/23/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health8/1/19952/23/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life8/1/19952/23/2001
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health1/31/19942/23/2001
InactiveAcordia of Louisville Inc.401252Agent - Life1/31/19942/23/2001

© Commonwealth of Kentucky. All rights reserved.