DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chicos, Frederick Harris	DOIID	515150	NAIC NPN	964721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/14/2000	11/30/2006
Inactive	Non Resident	Agent	Life	10/24/2000	11/30/2006
Inactive	Non Resident	Agent	Health	10/24/2000	11/30/2006
* 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	Aetna Health Inc.	300694	Agent - Health	4/8/2005	11/30/2006
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/24/2000	11/30/2006
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/24/2000	11/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Student Health Agency Inc	521725	Agent - Life	3/17/2003	11/30/2006
Inactive	Aetna Student Health Agency Inc	521725	Agent - Health	3/17/2003	11/30/2006
Inactive	Chickering Claims Administrators Inc	513568	Administrator - Not Applicable	11/14/2000	11/30/2006